Organization
BOWEN HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BAUMGARTNER (CFO)
(574) 267-7169
Entity
Organization
Contact information
Practice address
201 E RUDISILL BLVD, FORT WAYNE, IN 46806-1738
(800) 342-5653
Mailing address
2621 E JEFFERSON ST, WARSAW, IN 46580-3880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
09/19/2019
Last updated
10/29/2025
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