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Organization
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC
Active
Organization
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC
Active
Other names
Parkview Southwest Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE-HANSEN N/A (CFO)
(312) 388-0125
Entity
Organization
Contact information
Practice address
8004 CARNEGIE BLVD., FORT WAYNE, IN 46804-5785
(260) 434-3600
(260) 434-3680
Mailing address
8004 CARNEGIE BLVD., FORT WAYNE, IN 46804-5785
(260) 434-3600
(260) 434-3680
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
IN
Other
Enumeration date
05/23/2006
Last updated
03/02/2026
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