Matthew 25, INC
Clinic/Center, Primary Care in Fort Wayne, IN. Organization (NPI-2).
NPI number1992268635
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1992268635
- Entity type
- Organization (NPI-2)
- Legal business name
- Matthew 25, INC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2019
- Last updated
- Apr 10, 2019
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
413 E Jefferson BlvdFort Wayne, IN 46802-3201
Phone 260-426-3250
Mailing address
413 E Jefferson BlvdFort Wayne, IN 46802-3201
Phone 260-426-3250
Authorized official
Samantha Glover
Hr
2604263250
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