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Organization
PARKVIEW KOSCIUSKO SURGERY ONE, LLC
Active
Organization
PARKVIEW KOSCIUSKO SURGERY ONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE-HANSEN (CFO)
(312) 388-0125
Entity
Organization
Contact information
Practice address
335 E 200N, WARSAW, IN 46582-7855
(260) 266-6870
Mailing address
1450 PRODUCTION RD, FORT WAYNE, IN 46808-1167
(260) 266-6870
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/17/2024
Last updated
07/22/2026
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