NPI 1962455295

Iom Health System LP

Organisation Psychiatric Hospital Unit Fort Wayne, IN

Practice location

Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Fax: (260) 435-7632

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 05-005016-1 (IN)

Other Psychiatric Unit providers in Indiana →

Registry record

NPI: 1962455295
Entity type: Organization
NPI issued: 18 May 2006
Record last updated: 28 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.