NPI 1578517231

St Joseph Health System LLC

Organisation Psychiatric Hospital Unit Fort Wayne, IN

Practice location

Address: 700 Broadway, Fort Wayne, IN 46802-1402
Phone: (214) 425-3000
Fax: (260) 425-3222
Mailing address: PO Box 15673, Chicago, IL 60693-0156

Authorised official

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

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 1052-0-AFR (IN)

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Registry record

NPI: 1578517231
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 29 Apr 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.