OrganizationActive
Iom Health System Lp
NPI 1124157961 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1124157961
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Hurley, Senior Vice President(214) 473-3993
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Fax: (260) 435-7632
Street-level locationGet directions
Mailing address
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Other names (DBA / former)
- Doing business as
- Lutheran Hospital
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.