# QHG OF FORT WAYNE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Business Health Services North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053530162
- **Authorized official:** MR. DANIEL R KONOW PA (CEO)
- **Authorized official phone:** (260) 435-7841

## Contact information

- **Practice address:** 315 E COOK RD, FORT WAYNE, IN 46825-3311
- **Practice address phone:** (260) 489-7334
- **Practice address fax:** (260) 489-8413
- **Mailing address:** 315 E COOK RD, FORT WAYNE, IN 46825-3311
- **Mailing address phone:** (260) 489-7334
- **Mailing address fax:** (260) 489-8413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020