# PARKVIEW WABASH HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PARKVIEW WABASH HOSPITAL, INC.
- **Other names:** Parkview Wabash Multi-Specialty Physicians' Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891176590
- **Legal business name:** PARKVIEW WABASH HOSPITAL, INC.
- **Authorized official:** JEANNE WICKENS (CFO)
- **Authorized official phone:** (260) 266-9313

## Contact information

- **Practice address:** 10 JOHN KISSINGER DR., WABASH, IN 46992-1648
- **Practice address phone:** (260) 563-3131
- **Mailing address:** 10501 CORPORATE DR, FORT WAYNE, IN 46845-1700
- **Mailing address phone:** (260) 373-8406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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