Park Center Inc in Fort Wayne - Rehabilitation, Substance Use Disorder
Park Center Inc - NPI 1306897004
Park Center Inc is a Rehabilitation, Substance Use Disorder in Fort Wayne, Indiana. Park Center Inc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Park Center Inc is 1306897004. The last update date is 2021-10-29.
Park Center Inc's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700 and fax number 2604812717. The mailing address for Park Center Inc is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park Center Inc |
|---|---|
| Address | 909 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR E |
|---|---|
| Authorized Official Name | Bigelow Kris |
| Telephone Number | 2602661403 |
NPI Number Detail
| NPI Number | 1306897004 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2021-10-29 |
Provider Mailing Address Detail
| Address | 909 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4680534040 |
| Phone Number | 2604812700 |
| Fax Number | 2604812717 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100463190 C | IN | -- | |
| 100463190B | IN | -- | |
| 300015906 | IN | ADDICTION SERVICES | |
| 100463190A | IN | -- | |
| 300024898 | IN | ADDICTION SERVICES |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Park Center Inc by the Centers for Medicare & Medicaid Services?
The Park Center Inc has been assigned the NPI (National Provider Identifier) 1306897004 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Park Center Inc is physically located?
The Park Center Inc is situated at the following address: 909 E State Blvd, Fort Wayne, IN 4680534040.
What is the Park Center Inc's area of specialization and corresponding taxonomy classification?
The Park Center Inc's specialty field is Rehabilitation, Substance Use Disorder, and it falls under the taxonomy code 261Qr0405X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1306897004 to Park Center Inc?
The Centers for Medicare & Medicaid Services assigned the 1306897004 to Park Center Inc on 2006-05-15.
When was the information pertaining to Park Center Inc most recently updated or revised?
The details related to Park Center Inc, including its address, specialty, and other relevant information, were last updated or revised on 2021-10-29.