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QHG OF FORT WAYNE COMPANY LLC
NPI 1083656573
General Practice in Fort Wayne, IN

Active since June 11, 2006
3717 MAPLECREST RD, FORT WAYNE, IN 46815(260) 486-7334 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Qhg Of Fort Wayne Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QHG OF FORT WAYNE COMPANY LLC (NPI 1083656573) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since June 2006. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1083656573
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameQHG OF FORT WAYNE COMPANY LLC
Location Address3717 MAPLECREST RDFort Wayne, IN 46815-8424
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829
Phone(260) 486-7334
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateJune 11, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1083656573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3717 MAPLECREST RD, Fort Wayne, IN 46815
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Other Identifiers 1

Medicare PIN668030IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN VAN VALER FAUR MD
Family Medicine
3717 MAPLECREST RD
FORT WAYNE, IN 46815
Allen County (260) 486-7334
MRS. ELIZABETH JANE HENDRICKS PAC
Physician Assistant
3717 MAPLECREST RD
FORT WAYNE, IN 46815
Allen County (260) 486-7334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Qhg Of Fort Wayne Company LLC's NPI number?

The NPI number for Qhg Of Fort Wayne Company LLC is 1083656573. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Qhg Of Fort Wayne Company LLC located?

Qhg Of Fort Wayne Company LLC is located at 3717 Maplecrest Rd, Fort Wayne, IN 46815. The listed phone number is (260) 486-7334.

What is Qhg Of Fort Wayne Company LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Qhg Of Fort Wayne Company LLC was last updated on February 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.