OrganizationActive
Va Northern Indiana Health Care System
NPI 1386028330 · VA Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1386028330
- Entity type
- Organization
- Primary specialty
- VA Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Hayes, Credentialing Specialist(260) 426-5431
- License
- 03233198 (OH)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Approximate (ZIP-level) locationGet directions
Mailing address
4374 County Road 233
Clyde, OH 43410-9750
Registry dates
- Enumerated
- 2015-07-18
- Last updated
- 2015-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.