NPI 1346372653

People of Conviction

Organisation Exclusive Provider Organization Fort Wayne, IN

Practice location

Address: 1325 S Anthony Blvd, Fort Wayne, IN 46803-2107
Phone: (260) 424-3420
Fax: (260) 424-3420

Authorised official

Name: Saharra L Bledsoe
Title: Exe Director
Phone: (260) 424-3420

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1346372653
Entity type: Organization
NPI issued: 12 Mar 2007
Record last updated: 22 Aug 2020

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.