Park Center Inc
LBN: Park Center Inc
Park Center Inc is an health care organization with primary practice located at 909 E State Blvd , Fort Wayne IN 46805-3404. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Park Center Inc can be contacted via phone (260) 481-2700, or through Bigelow, Kris via phone (260) 266-1403.
Contact Information
Primary practice address
909 E State Blvd
Fort Wayne IN 46805-3404
Phone: (260) 481-2700
Fax: (260) 481-2717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 419-0-CMHC | Indiana |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | Indiana | |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1306897004 |
|---|---|
| LBN Legal business name | Park Center Inc |
| DBA Doing business as | |
| Authorized official | Bigelow, Kris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Oct 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306897004 | NPPES |
| Indiana | MEDICAID | 100463190 C | |
| Indiana | MEDICAID | 100463190B | |
| Indiana | Other | 300015906 | |
| Indiana | MEDICAID | 100463190A | |
| Indiana | Other | 300024898 |
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