Organization
WARSAW HEALTH SYSTEM, LLC
Active
Other names
Warsaw Surgical Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
1000 MED PARK DR, SUITE C, WARSAW, IN 46580-3285
(574) 372-5823
Mailing address
PO BOX 996, WARSAW, IN 46581-0996
(574) 372-5823
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
Enumeration date
08/31/2006
Last updated
08/22/2020
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