Organization
REHAB HOSPITAL OF FORT WAYNE LLC
Active
Other names
Rehab Hospital of Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DUGGAN (VP)
(717) 975-4503
Entity
Organization
Contact information
Practice address
7970 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-6100
Mailing address
4714 GETTYSBURG RD, LEGAL, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
06-006245-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153030
MEDICARE
IN
05
—
200097450A
—
IN
Enumeration date
05/15/2006
Last updated
09/10/2025
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