# WARSAW HEALTH SYSTEM LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Provident Family Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205948486
- **Authorized official:** REBECCA HURLEY (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (214) 473-3993

## Contact information

- **Practice address:** 1210 PROVIDENT DR, SUITE B, WARSAW, IN 46580-3266
- **Practice address phone:** (574) 372-5823
- **Mailing address:** PO BOX 996, WARSAW, IN 46581-0996
- **Mailing address phone:** (574) 372-5823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020