# ADAMS COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Pointe of Fort Wayne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801205240
- **Authorized official:** MR. KYLE SPRUNGER CPA (ASSISTANT CFO)
- **Authorized official phone:** (260) 724-2145

## Contact information

- **Practice address:** 5250 HERITAGE PARKWAY, FORT WAYNE, IN 46835-1061
- **Practice address phone:** (260) 209-6279
- **Practice address fax:** (260) 206-6284
- **Mailing address:** PO BOX 151, 1100 MERCER AVENUE, DECATUR, IN 46733-2303
- **Mailing address phone:** (260) 724-2145
- **Mailing address fax:** (260) 728-3852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 15-012931-1 | IN | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 15-012931-1 | IN | — |
| 314000000X | Skilled Nursing Facility | 15-012931-1 | IN | Yes |

## Other

- **Enumeration date:** 08/11/2014
- **Last updated:** 08/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201278730A | — | IN |