# ENT REALTY CORP

> 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:** The Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588640353
- **Authorized official:** HOLLY THOMPSON (CEO)
- **Authorized official phone:** (260) 207-1675

## Contact information

- **Practice address:** 7900 W JEFFERSON BLVD, SUITE 102, FORT WAYNE, IN 46804-4128
- **Practice address phone:** (260) 432-4368
- **Practice address fax:** (260) 436-6283
- **Mailing address:** 10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
- **Mailing address phone:** (260) 426-8117
- **Mailing address fax:** (260) 420-0817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 11/18/2021