Organization Active NPI

Bowen Health Inc

Doing business as Bowen Recovery Center

  • Methadone Clinic
  • Fort Wayne, IN
National Provider Identifier
1386159176
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BOWEN HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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)CodeLicenseStatePrimary
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 Doing business as

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 IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2297088Bowen Health, Inc Dba Bowen Health Recovery1415 Directors Row, Fort Wayne, IN 46808Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Otis R Bowen Center Human4 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.