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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