Organization
WARSAW HEALTH SYSTEM, LLC
Active
Organization
WARSAW HEALTH SYSTEM, LLC
Active
Other names
Northern Lakes Internal Medicince
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
1205 PROVIDENT DR, SUITE A, WARSAW, IN 46580-3265
(574) 372-5823
Mailing address
PO BOX 996, WARSAW, IN 46580
(574) 372-5823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/29/2006
Last updated
09/11/2025
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