Organization
QHG OF FORT WAYNE, INC.
Active
Other names
Business Health Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL R KONOW PA (CEO)
(260) 435-7841
Entity
Organization
Contact information
Practice address
5932 W JEFFERSON BLVD, FORT WAYNE, IN 46804-1677
(260) 436-2273
(260) 436-0804
Mailing address
5932 W JEFFERSON BLVD, FORT WAYNE, IN 46804-1677
(260) 436-2273
(260) 436-0804
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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