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VA NORTHERN INDIANA HEALTH CARE SYSTEM
NPI 1386028330
Clinic/Center - VA in Fort Wayne, IN

Active since July 18, 2015
2121 LAKE AVE, FORT WAYNE, IN 46805(260) 426-5431 Get Directions Write a Review

NPPES record last updated: July 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Va Northern Indiana Health Care System NPPES

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

VA NORTHERN INDIANA HEALTH CARE SYSTEM (NPI 1386028330) is a healthcare organization registered as a va in Fort Wayne, Indiana and active in the NPI registry since July 2015. The organization lists Richard Hayes, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1386028330
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameVA NORTHERN INDIANA HEALTH CARE SYSTEM
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address4374 County Road 233Clyde, OH 43410-9750 · (419) 463-0025
Phone(260) 426-5431
Organization SubpartNo
Authorized OfficialRichard HayesCredentialing Specialist · (260) 426-5431
Enumeration DateJuly 18, 2015
✔ NPI 1386028330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
License✔ Licensed in OH · 03233198
2121 LAKE AVE, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 20

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

TAMMY MOEHLE
Registered Nurse (Oncology)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. CALEB ANDREW MOSSBURG PHARMD
Pharmacist
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. ASHLEY M FULTON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
HANNAH DULINSKY RN
Registered Nurse (Home Health)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 460-1445
DANIELLE SCHULTZ
Registered Nurse
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
DR. IAN H. COOK M.D.
Surgery
2121 LAKE AVE, VETERANS AFFAIRS MEDICAL CENTER
FORT WAYNE, IN 46805
Allen County (260) 426-5431
SCOTT KRUSE
Social Worker (Clinical)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 426-5431
MONICA JANE HALL
Registered Nurse (General Practice)
2121 LAKE AVE
FORT WAYNE, IN 46805
Allen County (260) 456-0543

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 VA Northern Indiana Health Care System's NPI number?

The NPI number for VA Northern Indiana Health Care System is 1386028330. It was assigned to this organization in the NPPES registry on July 18, 2015.

Where is VA Northern Indiana Health Care System located?

VA Northern Indiana Health Care System is located at 2121 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 426-5431.

What is VA Northern Indiana Health Care System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for VA Northern Indiana Health Care System was last updated on July 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.