# SURGERY CENTER OF FORT WAYNE

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780218115
- **Authorized official:** MR. BRANDON EHRET (ADMINISTRATOR)
- **Authorized official phone:** (317) 450-5441

## Contact information

- **Practice address:** 1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
- **Practice address phone:** (317) 450-5441
- **Mailing address:** 1721 MAGNAVOX WAY, FORT WAYNE, IN 46804-1537
- **Mailing address phone:** (260) 250-0001
- **Mailing address fax:** (260) 222-0002

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2020
- **Last updated:** 04/25/2024