Fort Wayne Medical Education Program in Fort Wayne - Family Medicine
Fort Wayne Medical Education Program - NPI 1184635153
Fort Wayne Medical Education Program is a Family Medicine in Fort Wayne, Indiana. Fort Wayne Medical Education Program practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Fort Wayne Medical Education Program is 1184635153. The last update date is 2015-04-20.
Fort Wayne Medical Education Program's current location address is 750 Broadway, Fort Wayne, Indiana. You can contact this provider via phone number 2604232682 and fax number 2604224326. The mailing address for Fort Wayne Medical Education Program is 750 Broadway, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Wayne Medical Education Program |
|---|---|
| Address | 750 Broadway, Fort Wayne, Indiana |
| Phone Number | 2604232682 |
| Fax Number | 2604224326 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Harris Kimberly |
| Credentials | COO |
| Telephone Number | 2604232682 |
NPI Number Detail
| NPI Number | 1184635153 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2015-04-20 |
Provider Mailing Address Detail
| Address | 750 Broadway |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468021412 |
| Phone Number | 2604232682 |
| Fax Number | 2604224326 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100050650A | IN | -- |
Post Comment/ Review Below
What is the Fort Wayne Medical Education Program's unique identification number?
The Fort Wayne Medical Education Program has been assigned the NPI (National Provider Identifier) Number 1184635153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Fort Wayne Medical Education Program located?
The Fort Wayne Medical Education Program is located at 750 Broadway, Fort Wayne, IN 468021412.
What is Fort Wayne Medical Education Program's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fort Wayne Medical Education Program is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1184635153 to Fort Wayne Medical Education Program?
The Fort Wayne Medical Education Program received its 1184635153 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the information regarding Fort Wayne Medical Education Program most recently updated?
The details pertaining to the Fort Wayne Medical Education Program, including its address, specialty, and other relevant information, were last refreshed on 2015-04-20.
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