NPIMap

Organization Active NPI

Purdue University

Doing business as IPFW Center for Health Living: Campus Clinic and Wellnes Program

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1679917710
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PURDUE UNIVERSITY
Doing business as
IPFW Center for Health Living: Campus Clinic and Wellnes Program
Practice address
2101 E Coliseum Blvd
Walb Union 234
Fort Wayne, IN 46805-1445
Phone
(260) 481-5748
Fax
(260) 481-5752
NPI assigned
Apr 19, 2013
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
PURDUE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Linda M Finke, RN, PHD
Title
Director
Phone
(260) 481-6564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2101 E Coliseum Blvd
Walb Union 234
Fort Wayne, IN 46805-1445

Mailing address

2101 E Coliseum Blvd
Walb Union 234
Fort Wayne, IN 46805-1445
Phone (260) 481-5748

Other names 1

  • IPFW Center for Health Living: Campus Clinic and Wellnes Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Purdue University Student19 organizations share this tax ID, including this one
Part of
Purdue University Student

Other organizations with this tax ID 18

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

View all 18

Locations

2101 E Coliseum Blvd
Ste 234
Fort Wayne, IN 46805

2101 E Coliseum Blvd
Ste WU234
Fort Wayne, IN 46805

Practitioners & affiliated clinicians

Practitioners 4

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": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1679917710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E COLISEUM BLVD",
            "address_2": "WALB UNION 234",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051445",
            "telephone_number": "260-481-5748",
            "fax_number": "260-481-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E COLISEUM BLVD",
            "address_2": "WALB UNION 234",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468051445",
            "telephone_number": "260-481-5748",
            "fax_number": "260-481-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDUE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURDUE UNIVERSITY",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "FINKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "260-481-6564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IPFW Center for Health Living: Campus Clinic and Wellnes Program",
            "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 Apr 22, 2013; 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.