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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PARKVIEW KOSCIUSKO SURGERY ONE, LLC
NPI 1790506376
Clinic/Center - Ambulatory Surgical in Warsaw, IN

Active since October 17, 2024

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, Mar 2, 2026, Jul 9, 2025 (3 updates tracked since 2025).

About Parkview Kosciusko Surgery One, Llc NPPES

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

PARKVIEW KOSCIUSKO SURGERY ONE, LLC (NPI 1790506376) is a healthcare organization registered as an ambulatory surgical in Warsaw, Indiana and active in the NPI registry since October 2024. The organization lists Jessica Lee-hansen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790506376
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePARKVIEW KOSCIUSKO SURGERY ONE, LLC
Location Address335 E 200NWarsaw, IN 46582-7855
Mailing Address1450 Production RdFort Wayne, IN 46808-1167 · (260) 266-6870
Phone(260) 266-6870
Organization SubpartNo
Authorized OfficialJessica Lee-hansenCfo · (312) 388-0125
Enumeration DateOctober 17, 2024
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1790506376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
335 E 200N, Warsaw, IN 46582
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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 Parkview Kosciusko Surgery One, LLC's NPI number?

The NPI number for Parkview Kosciusko Surgery One, LLC is 1790506376. It was assigned to this organization in the NPPES registry on October 17, 2024.

Where is Parkview Kosciusko Surgery One, LLC located?

Parkview Kosciusko Surgery One, LLC is located at 335 E 200N, Warsaw, IN 46582. The listed phone number is (260) 266-6870.

What is Parkview Kosciusko Surgery One, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Parkview Kosciusko Surgery One, LLC was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.