Organization
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC
Active
Other names
Parkview Southwest Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LEE-HANSEN N/A (CFO)
(312) 388-0125
Entity
Organization
Contact information
Practice address
8004 CARNEGIE BLVD., FORT WAYNE, IN 46804-5785
(260) 434-3600
(260) 434-3680
Mailing address
8004 CARNEGIE BLVD., FORT WAYNE, IN 46804-5785
(260) 434-3600
(260) 434-3680
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
IN
Other
Enumeration date
05/23/2006
Last updated
03/02/2026
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