NPI 1033163407

St Joseph Health System LLC

Organisation Rehabilitation Hospital Unit Fort Wayne, IN

Practice location

Address: 702 van Buren St, Fort Wayne, IN 46802-3697
Phone: (260) 425-3000
Fax: (260) 425-3222
Mailing address: 15376 Collection Center Drive, Ch, IN 60693-0156

Authorised official

Name: Paula M Lalor
Title: Director/Authorized Official
Phone: (629) 215-3953

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X

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Registry record

NPI: 1033163407
Entity type: Organization
NPI issued: 20 May 2006
Record last updated: 1 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.