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Organization

PARKVIEW HOSPITAL, INC.

Active
Parent organization
PARKVIEW HOSPITAL, INC.
Other names
Continuing Care Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARKVIEW HOSPITAL, INC.
Authorized official
MR. MARK NAFZIGER (EXECUTIVE VP -- CFO)
(260) 373-7008
Entity
Organization

Contact information

Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4000
(260) 373-8446
Mailing address
PO BOX 5600, FORT WAYNE, IN 46895-5600
(260) 373-7008
(260) 373-7059

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000097669
ANTHEM PROVIDER NUMBER
IN
Enumeration date
08/03/2006
Last updated
08/23/2007
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