Active NPI
Bowen Health Inc
Doing business as Bowen Recovery Center
- Methadone Clinic
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- BOWEN HEALTH INC
- Doing business as
- Bowen Recovery Center
- Practice address
- 1415 Directors Row
Fort Wayne, IN 46808-1297 - Phone
- (800) 342-5653
- Fax
- (574) 269-4189
- NPI assigned
- Dec 4, 2017
- Last updated
- Sep 17, 2026
- Organization subpart
- Yes
- Parent organization
- BOWEN HEALTH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Knecht
- Title
- Avp Finance
- Phone
- (574) 269-0532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
1415 Directors Row
Fort Wayne, IN 46808-1297
Mailing address
2621 E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 267-7169
Other names 1
- Bowen Recovery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200113000066 | IN | Part B Supplier - Opioid Treatment Program (Otp) | 7618950965 | Practice locations: Fort Wayne, IN |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Otis R Bowen Center
- Adult Mental Health Clinic/Center
- Warsaw, IN
- NPI 1639172810
7618950965
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2297088 | Bowen Health, Inc Dba Bowen Health Recovery | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Otis R Bowen Center Human
- Part of
- Otis R Bowen Center Human
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Bowen Health
- Federally Qualified Health Center (FQHC)
- Warsaw, IN
- NPI 1013806082
-
- Community/Behavioral Health Agency
- Wabash, IN
- NPI 1437207156
-
- Psychiatric Hospital Unit
- Warsaw, IN
- NPI 1760521140
Locations
1415 Directors Row
Fort Wayne, IN 46808
Phone (260) 471-9357
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Fort Wayne, IN
- NPI 1568458990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1386159176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 E JEFFERSON ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803880",
"telephone_number": "574-267-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 DIRECTORS ROW",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468081297",
"telephone_number": "800-342-5653",
"fax_number": "574-269-4189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWEN HEALTH INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOWEN HEALTH INC",
"enumeration_date": "2017-12-04",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "KNECHT",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "AVP FINANCE",
"authorized_official_telephone_number": "574-269-0532"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bowen Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.