Ent Realty Corp in Fort Wayne - Ambulatory Surgical
Ent Realty Corp - NPI 1588640353
Ent Realty Corp is a Ambulatory Surgical in Fort Wayne, Indiana. Ent Realty Corp practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Ent Realty Corp is 1588640353. The last update date is 2021-11-18.
Ent Realty Corp's current location address is 7900 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604324368 and fax number 2604366283. The mailing address for Ent Realty Corp is 7900 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ent Realty Corp |
|---|---|
| Address | 7900 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604324368 |
| Fax Number | 2604366283 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Thompson Holly |
| Telephone Number | 2602071675 |
NPI Number Detail
| NPI Number | 1588640353 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 7900 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044128 |
| Phone Number | 2604324368 |
| Fax Number | 2604366283 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200138850 | IN | -- |
Post Comment/ Review Below
What is the Ent Realty Corp's 1588640353?
The Ent Realty Corp's NPI (National Provider Identifier) Number is 1588640353. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ent Realty Corp's facilities are situated?
The facilities of Ent Realty Corp are physically located at the following address: 7900 W Jefferson Blvd, Fort Wayne, IN, 468044128.
What is the Ent Realty Corp's area of specialization and corresponding taxonomy classification?
The Ent Realty Corp's specialty field is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their specialties.
When did Ent Realty Corp receive its 1588640353 assignment?
The Ent Realty Corp was assigned its 1588640353 on 2005-12-22, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Ent Realty Corp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ent Realty Corp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-18.
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