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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SU SALUD CLINIC PSC

Active Organization

SU SALUD CLINIC PSC is a Family Medicine organization located in FORT WAYNE, Indiana. NPI 1689941932 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT WAYNE, IN

Registration Details

NPI Number
1689941932
Provider Type
Organization
NPI Issued
Nov 30, 2011 (14.704664826111 yrs)
Last Updated
Jul 16, 2012
License
01056928A (IN)

Practice Information

Address
4101 DIPLOMAT PLAZA CTR
FORT WAYNE, IN, 468064531
Browse IN providers · Browse ZIP 46806
Phone
2604445695
Fax
2604445665
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.