Fort Wayne Endoscopy Center Llc

LBN: Fort Wayne Endoscopy Center Llc
Fort Wayne Endoscopy Center Llc is an health care organization with primary practice located at 3415 Hobson Rd , Fort Wayne IN 46805-1617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Fort Wayne Endoscopy Center Llc can be contacted via phone (260) 482-8001, or through Trimbur, Rebecca via phone (260) 266-9075.

Contact Information

Primary practice address
3415 Hobson Rd Fort Wayne IN 46805-1617
Phone: (260) 482-8001
Fax: (260) 471-7444
Website:
Map and Directions
Authorized official contact:
Name: Trimbur, Rebecca
Phone: (260) 266-9075

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 010098 Indiana

Profile Details

NPI number 1548267024
LBN Legal business name Fort Wayne Endoscopy Center Llc
DBA Doing business as
Authorized official Trimbur, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548267024 NPPES
Indiana Other 010098 STATE LICENSE
Indiana Other 000000285559 STATE LICENSE
Indiana Other 15D1009484 STATE LICENSE
Indiana MEDICAID 200431310A STATE LICENSE

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