Organization
VA NORTHERN INDIANA HEALTH CARE SYSTEM
Active
Organization
VA NORTHERN INDIANA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HAYES (CREDENTIALING SPECIALIST)
(260) 426-5431
Entity
Organization
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
4374 COUNTY ROAD 233, CLYDE, OH 43410-9750
(419) 463-0025
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
03233198
OH
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up