Ft Wayne Med Oncology And Hematology

LBN: Fort Wayne Medical Oncology & Hemat
Ft Wayne Med Oncology And Hematology is an health care organization with primary practice located at 4402 E State Blvd , Fort Wayne IN 46815-6917. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Fort Wayne Medical Oncology & Hemat can be contacted via phone (260) 969-7846, or through Maravilla, Tracy via phone (260) 484-9660.

Contact Information

Primary practice address
4402 E State Blvd Fort Wayne IN 46815-6917
Phone: (260) 969-7846
Fax: (260) 483-1734
Website:
Map and Directions
Authorized official contact:
Name: Maravilla, Tracy PHARMD
Phone: (260) 484-9660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 60005894A Indiana

Profile Details

NPI number 1215066949
LBN Legal business name Fort Wayne Medical Oncology & Hemat
DBA Doing business as Ft Wayne Med Oncology And Hematology
Authorized official Maravilla, Tracy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated May 3rd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215066949 NPPES
Indiana MEDICAID 200544860A
Indiana Other 1560247

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