Organization · Type 2 NPI

Adams County Memorial Hospital

Skilled Nursing Facility · Fort Wayne, IN

NPI number 1073554200 Active

Practice location

6701 South Anthony Boulevard
Fort Wayne, IN 46816-2035

Call (260) 447-0800 Map

Fax (260) 447-7369

Mailing address

1100 Mercer Ave
Decatur, IN 46733-2303

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Nursing Facility/Intermediate Care Facility	313M00000X	050002831 (IN)
Skilled Nursing Facility Primary	314000000X	050002831 (IN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1073554200
Entity type: Organization (Type 2)
Issued: Jun 9, 2006
Last updated: Oct 31, 2026
Status: Active

Other names

<unavail>
Fort Wayne Health Campus · doing business as
Lutheran Life Villages (anthony) · doing business as

Authorized official

Kyle Sprunger
CFO/treasurer
(260) 724-2145

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073554200

Adams County Memorial Hospital's National Provider Identifier is 1073554200, issued on Jun 9, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 31, 2026.