Organization
REHAB HOSPITAL OF FORT WAYNE LLC
Active
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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