QHG OF FORT WAYNE INC. NPI 1679792782

NPI Information

QHG OF FORT WAYNE, INC. is an urgent care clinic center in Fort Wayne, IN. QHG OF FORT WAYNE, INC. NPI is 1679792782. The provider is registered as an organization entity type.
The provider Is Doing Business As Business Health Services Offices.

The provider's business location address is:

315 E COOK RD
FORT WAYNE, IN
ZIP 46825-311
Phone: (260) 969-2013
Fax: (260) 489-9851

The provider's authorized official is Daniel R Konow .
The authorized official title is Ceo and has the following contact phone number (260) 435-7841.

The CLIA number assigned to this NPI record is 15D0671508 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.