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ASC Facility Directory for ALLEN county Created on: 10/3/2024 Posted to the Web on: 10/16/2024 CLI SURGERY CENTER 7747 W JEFFERSON BLVD STE B FORT WAYNE, IN 46804 Administrator: INGRID WILLEMS Tel: (260)434-9104 Fax: (260)434-9105 License Number : 24-003375-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y IU HEALTH SURGERY CENTER FORT WAYNE 4105 DICKE ROAD FORT WAYNE, IN 46804 Administrator: SHEILA TURNBOW Tel: (260)234-5428 Fax: (844)575-9678 License Number : 24-014971-1 Lic Expire Date: 12/31/2024 Medicare: N Medicaid: N NANI VASCULAR 1833 MAGNAVOX WAY FORT WAYNE, IN 46804 Administrator: SUE WEYFORTH Tel: (260)918-0997 Fax: (260)459-7885 License Number : 24-014203-1 Lic Expire Date: 12/31/2024 Medicare: N Medicaid: N Northeast Indiana Ambulatory Surgery Center, LLC 11277 Twin Creeks Drive Fort Wayne, IN 46845 Tel: Fax: License Number : 23-014945-1 Lic Expire Date: Medicare: N Medicaid: N PARKVIEW SOUTHWEST SURGERY CENTER 8004 CARNEGIE BOULEVARD FORT WAYNE, IN 46804 Administrator: ELIZABETH BEAR Tel: (260)266-3840 Fax: (260)266-3845 License Number : 24-004581-1 Lic Expire Date: 6/30/2025 Medicare: Y Medicaid: Y PARKVIEW SURGERYONE 11420 PARKVIEW CIRCLE FORT WAYNE, IN 46845 Administrator: JEFFRA KINNIARD Tel: (260)266-6300 Fax: (260)266-6337 License Number : 24-005407-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y RETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC 11192 DIEBOLD ROAD FORT WAYNE, IN 46845 Administrator: JACKIE DAYTON Tel: (260)483-9500 Fax: (260)483-9511 License Number : 24-012741-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y SOUTHWEST SURGICAL SUITES 7920 W JEFFERSON BLVD STE 210 FORT WAYNE, IN 46804 Administrator: ANNE HADDIX Tel: (260)434-2022 Fax: (260)434-2023 License Number : 24-003212-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y SURGERY CENTER OF FORT WAYNE, LLC 1721 MAGNAVOX WAY FORT WAYNE, IN 46804 Administrator: BRANDON EHRET Tel: (317)920-0477 Fax: (317)920-0476 License Number : 24-014646-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y SURGERY CENTER OF OPHTHALMOLOGY CONSULTANTS 7232 ENGLE RD FORT WAYNE, IN 46804 Administrator: TRICIA PIEPER Tel: (260)436-7205 Fax: (260)432-1339 License Number : 24-009567-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y SURGERY CENTER THE 7900 W JEFFERSON BOULEVARD, SUITE 102 FORT WAYNE, IN 46804 Administrator: NICHOLE ZWICK Tel: (260)432-4368 Fax: (260)436-6283 License Number : 24-009566-1 Lic Expire Date: 6/30/2025 Medicare: Y Medicaid: Y THE EYE SURGICAL CENTER OF FORT WAYNE LLC 321 E WAYNE ST FORT WAYNE, IN 46802 Administrator: SUZANNE GREEN Tel: (260)422-5976 Fax: (260)969-1041 License Number : 24-005393-1 Lic Expire Date: 12/31/2024 Medicare: Y Medicaid: Y
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