Organization
IOM HEALTH SYSTEM LP
Active
Parent organization
IOM HEALTH SYSTEM LP
Other names
Lutheran Hospital of Indiana-Gero psych unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOM HEALTH SYSTEM LP
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
(260) 435-7632
Mailing address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-7001
(260) 435-7632
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
05-005016-1
IN
Other
Enumeration date
05/18/2006
Last updated
04/28/2021
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