Organization
IU HEALTH SOUTHWEST FORT WAYNE AMBULATORY SURGERY CENTER LLC
Active
Other names
IU Health Surgery Center on Aboite road, IU Health Surgery Center Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KOUSAGAN (EXECUTIVE DIRECTOR)
(504) 220-8912
Entity
Organization
Contact information
Practice address
4105 DICKE ROAD, FORT WAYNE, IN 46804
(317) 201-1038
Mailing address
950 N MERIDIAN ST STE 910, INDIANAPOLIS, IN 46204-1077
(317) 805-2247
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
08/05/2025
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