OrganizationActive
Super Shot Inc.
NPI 1427373372 · Public Health or Welfare Agency · Fort Wayne, IN
Provider details
- NPI number
- 1427373372
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Connie Heflin, Executive Director(260) 424-7468
- License
- N/A (IN)
Specialties & taxonomies
Agencies
Practice location
1515 Hobson Rd
Fort Wayne, IN 46805-4802
Phone: (260) 424-7468
Fax: (260) 739-5623
Approximate (ZIP-level) locationGet directions
Mailing address
1515 Hobson Rd
Fort Wayne, IN 46805-4802
Registry dates
- Enumerated
- 2010-04-05
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.