Patients Choice Medical And Wellness Clinic
Clinic/Center, Primary Care in Fort Wayne, IN. Organization (NPI-2).
NPI number1518679166
StatusActive
Last updated in NPPESDec 14, 2022
Details
- NPI
- 1518679166
- Entity type
- Organization (NPI-2)
- Legal business name
- Patients Choice Medical And Wellness Clinic
- Organization subpart
- No
- Enumeration date
- Dec 14, 2022
- Certification date
- Dec 14, 2022
- Last updated
- Dec 14, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
6604 Constitution DrFort Wayne, IN 46804-1575
Phone 260-387-5912
Mailing address
6604 Constitution DrFort Wayne, IN 46804-1575
Phone 260-387-5912
Authorized official
Ashley K Brown
Owner
2603875912
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