1306897004 PARK CENTER INC

Mental Health Clinic/Center (Including Community Mental Health Center)

Active

Basic Information

Organization Name
PARK CENTER INC
Enumeration Date
May 15, 2006
Last Update
October 29, 2021
Authorized Official
KRIS BIGELOW
DIRECTOR ENTERPRISE CREDENTIALING &
Phone: (260) 266-1403

Practice Location

Address
909 E STATE BLVD
FORT WAYNE, IN 468053404
Phone
(260) 481-2700
Fax
(260) 481-2717

Mailing Address

Address
11109 PARKVIEW PLAZA DRIVE
MAILBOX 117
FORT WAYNE, IN 46845
Phone
(260) 373-9700
Fax
(260) 373-9740

Specialties & Taxonomies

Specialty Code Classification License State Primary
Addiction (Substance Use Disorder) Psychologist
Addiction (Substance Use Disorder)
 103TA0400X Psychologist N/A N/A No
Primary Care Clinic/Center
Primary Care
 261QP2300X Clinic/Center N/A IN No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
 261QR0405X Clinic/Center N/A N/A No
Mental Health Clinic/Center (Including Community Mental Health Center)
Mental Health (Including Community Mental Health Center)
 261QM0801X Clinic/Center 419-0-CMHC IN Primary

Other Identifiers

Identifier Type State Issuer
100463190 C 05 IN N/A
100463190B 05 IN N/A
300015906 01 IN ADDICTION SERVICES
100463190A 05 IN N/A
300024898 01 IN ADDICTION SERVICES

Additional Practice Locations

1909 Carew St
Fort Wayne, IN 468054707

Phone: (260) 481-2800

1610 Spy Run Ave
Fort Wayne, IN 468054033

Phone: (260) 432-2502

Frequently Asked Questions

What is PARK CENTER INC's NPI number?
PARK CENTER INC's NPI number is 1306897004.
Which doctor has NPI number 1306897004?
The doctor with NPI number 1306897004 is PARK CENTER INC.
What is PARK CENTER INC's practice address?
PARK CENTER INC's practice address is 909 E STATE BLVD, FORT WAYNE, IN, 468053404.
Which doctor practices at 909 E STATE BLVD, FORT WAYNE, IN, 468053404?
PARK CENTER INC practices at 909 E STATE BLVD, FORT WAYNE, IN, 468053404.
What is PARK CENTER INC's mailing address?
PARK CENTER INC's mailing address is 11109 PARKVIEW PLAZA DRIVE, MAILBOX 117, FORT WAYNE, IN, 46845.
What is PARK CENTER INC's phone number?
PARK CENTER INC's phone number is (260) 481-2700.
Who is (260) 481-2700?
(260) 481-2700 is the phone number for PARK CENTER INC.
What is PARK CENTER INC's specialty?
PARK CENTER INC's specialty is Mental Health Clinic/Center (Including Community Mental Health Center).
What type of doctor is PARK CENTER INC?
PARK CENTER INC is a Mental Health Clinic/Center (Including Community Mental Health Center).
Is PARK CENTER INC a Mental Health (Including Community Mental Health Center)?
Yes, PARK CENTER INC is a Mental Health (Including Community Mental Health Center).
Is PARK CENTER INC still practicing?
Yes, PARK CENTER INC is currently practicing.
Is PARK CENTER INC accepting new patients?
PARK CENTER INC may be accepting new patients. Please call their office at (260) 481-2700 to inquire about availability.
Is NPI 1306897004 still active?
Yes, NPI 1306897004 is currently active.
Where does PARK CENTER INC practice?
PARK CENTER INC practices in FORT WAYNE, IN.