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Organization
PARKVIEW HOSPITAL
Active
Organization
PARKVIEW HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN DIANE OVERCASH NURSE PRACTITIONER (FAMILY NURE PRACTITIONER)
(260) 422-5561
Entity
Organization
Contact information
Practice address
1600 E WASHINGTON BLVD, FORT WAYNE, IN 46803-1228
(260) 422-5561
Mailing address
8718 SPRING FOREST DR, FORT WAYNE, IN 46804-6441
(260) 436-9546
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
71001699A
IN
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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