CCN: 151657 NPI: 1306846860 Organization

Interim Healthcare of Fort Wayne

111 E LUDWIG RD STE 105
FORT WAYNE, IN 468254240

Contact Information

Phone 2604829405
Fax 2604827180
Enumeration Date 2005-07-27
Last Updated 2025-09-09

Taxonomies

Code: 251G00000X
Code: 251E00000X (Primary) License State: IN License: 04-003294-1

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 23060

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 23060

providerType 35

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 23060

providerType 35

specialPaymentIndicator

carrierCode 08102

localityCode 00

cbsaActualGeographicLocation 23060

providerType 35

specialPaymentIndicator

carrierCode 08102

localityCode 00