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Organization

FT. WAYNE-ALLEN COUNTY DEPARTMENT OF HEALTH

Active
Other names
Allen County Auditor
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MINDY WALDRON (DEPARTMENT ADMINISTRATOR)
(260) 449-7578
Entity
Organization

Contact information

Practice address
4813 NEW HAVEN AVE, FORT WAYNE, IN 46803-3018
(260) 449-7578
(260) 427-1391
Mailing address
200 E BERRY ST., SUITE 360, FORT WAYNE, IN 46802-2738
(260) 449-7578
(260) 427-1391

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
01041980A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100052870C
IN
05
200946540A
IN
Enumeration date
10/22/2008
Last updated
08/15/2022
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