Organization Active NPI

QHG of Fort Wayne, Inc.

Doing business as RediMed/Business Health Services

  • Physical Therapy Clinic/Center
  • Huntington, IN
National Provider Identifier
1558458810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
QHG OF FORT WAYNE, INC.
Doing business as
RediMed/Business Health Services
Practice address
1415 Flaxmill Rd
Huntington, IN 46750-8806
Phone
(260) 359-1250
Fax
(260) 359-1251
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel R. Konow, PA
Title
Ceo
Phone
(260) 435-7841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1415 Flaxmill Rd
Huntington, IN 46750-8806

Mailing address

7333 W Jefferson Blvd
Fort Wayne, IN 46804-6280
Phone (260) 435-6230

Other names 1

  • RediMed/Business Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
QHG of Ft Woayne Inc DB9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558458810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046280",
            "telephone_number": "260-435-6230",
            "fax_number": "260-435-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FLAXMILL RD",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467508806",
            "telephone_number": "260-359-1250",
            "fax_number": "260-359-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF FORT WAYNE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONOW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-435-7841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RediMed/Business Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.