Organization
INNOVATIVE HOSPITAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GILBERT M.D. (PRESIDENT)
(260) 203-9600
Entity
Organization
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 203-9600
(260) 739-6167
Mailing address
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825-1906
(260) 203-9600
(260) 739-6167
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201067680
—
IN
Enumeration date
03/31/2012
Last updated
04/09/2016
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