# IU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IU Health Surgery Center on Aboite road, IU Health Surgery Center Fort Wayne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992395388
- **Authorized official:** ERIN KOUSAGAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (504) 220-8912

## Contact information

- **Practice address:** 4105 DICKE ROAD, FORT WAYNE, IN 46804
- **Practice address phone:** (317) 201-1038
- **Mailing address:** 950 N MERIDIAN ST STE 910, INDIANAPOLIS, IN 46204-1077
- **Mailing address phone:** (317) 805-2247

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 08/05/2025