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Organization
PARKVIEW WABASH HOSPITAL, INC.
Active
Organization
PARKVIEW WABASH HOSPITAL, INC.
Active
Parent organization
PARKVIEW WABASH HOSPITAL, INC.
Other names
Parkview Wabash Multi-Specialty Physicians' Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKVIEW WABASH HOSPITAL, INC.
Authorized official
JEANNE WICKENS (CFO)
(260) 266-9313
Entity
Organization
Contact information
Practice address
10 JOHN KISSINGER DR., WABASH, IN 46992-1648
(260) 563-3131
Mailing address
10501 CORPORATE DR, FORT WAYNE, IN 46845-1700
(260) 373-8406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/18/2015
Last updated
06/27/2018
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