OrganizationActive
Directclinic LLC
NPI 1710422746 · Primary Care Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1710422746
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Directcare LLC
- Organization subpart
- Yes
- Authorized official
- Sudhakar Krishnan, President & Ceo(260) 212-1900
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7802 W Jefferson Blvd
Fort Wayne, IN 46804-4138
Phone: (260) 466-5671
Approximate (ZIP-level) locationGet directions
Mailing address
6435 W Jefferson Blvd
Fort Wayne, IN 46804-6203
Registry dates
- Enumerated
- 2016-12-29
- Last updated
- 2016-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.