Organization
SUMMIT CITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHAKAR SANATHANA KRISHNAN (MANAGER)
(260) 212-1902
Entity
Organization
Contact information
Practice address
1355 GETZ RD STE D, FORT WAYNE, IN 46804-1609
(260) 212-1902
(260) 222-2827
Mailing address
1355 GETZ RD STE D, FORT WAYNE, IN 46804-1609
(260) 212-1902
(260) 222-2827
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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