The Family Medicine Center

LBN: Fort Wayne Medical Education Program
The Family Medicine Center is an health care organization with primary practice located at 750 Broadway Suite 350, Fort Wayne IN 46802-1412. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fort Wayne Medical Education Program can be contacted via phone (260) 423-2675, or through Harris, Kimberly via phone (260) 423-2682.

Contact Information

Primary practice address
750 Broadway Suite 350 Fort Wayne IN 46802-1412
Phone: (260) 423-2675
Fax: (260) 423-6621
Website:
Map and Directions
Authorized official contact:
Name: Harris, Kimberly COO
Phone: (260) 423-2682

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1184635153
LBN Legal business name Fort Wayne Medical Education Program
DBA Doing business as The Family Medicine Center
Authorized official Harris, Kimberly COO
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 20th, 2015 - about 9 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184635153 NPPES
Indiana MEDICAID 100050650A

Popular Providers