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Carefirst of Fortwayne Inc — NPI 1306037254, Angola, IN | NPI Central

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NPI 1306037254

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Carefirst of Fortwayne Inc

NPI 1306037254 · Oxygen Equipment & Supplies (DME) · Angola, IN

Provider details

NPI number: 1306037254
Entity type: Organization
Primary specialty: Oxygen Equipment & Supplies (DME)Suppliers
Organization subpart: No
Authorized official: Russell Johnson, President(260) 373-1600
License: 69000127A (IN)

Specialties & taxonomies

Oxygen Equipment & Supplies (DME)Primary332BX2000XLicense 69000127A (IN)
Suppliers

Practice location

718 N Wayne St

Angola, IN 46703-1006

Phone: (260) 624-3093

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

3204 Congressional Pkwy

Fort Wayne, IN 46808-4417

Other names (DBA / former)

Doing business as: Advanced Healthcare

Registry dates

Enumerated: 2007-08-06
Last updated: 2007-11-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.