Project Impact Ft.In Inc.

LBN: Project Impact Ft.In Inc.
Project Impact Ft.In Inc. is an health care organization with primary practice located at 2200 Lake Ave Ste 105 , Fort Wayne IN 46805-5365. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Project Impact Ft.In Inc. can be contacted via phone (260) 426-0646, or through Thomas, Kevin via phone (260) 426-0646.

Contact Information

Primary practice address
2200 Lake Ave Ste 105 Fort Wayne IN 46805-5365
Phone: (260) 426-0646
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Kevin
Phone: (260) 426-0646

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1528203437
LBN Legal business name Project Impact Ft.In Inc.
DBA Doing business as
Authorized official Thomas, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2008
Last updated Dec 5th, 2008 - about 17 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 1528203437 NPPES
Indiana MEDICAID 200843270

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