Organization · Type 2 NPI
Parkview Kosciusko Surgery One, LLC
Ambulatory Surgical Clinic/Center · Warsaw, IN
NPI number
1790506376
Active
Practice location
335 E 200N
Warsaw, IN 46582-7855
Mailing address
1450 Production Rd
Fort Wayne, IN 46808-1167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
About NPI 1790506376
Parkview Kosciusko Surgery One, LLC's National Provider Identifier is 1790506376, issued on Oct 17, 2024. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Warsaw, IN. The record was last updated on Jul 22, 2026.