| Organization Name: | PARKVIEW HEALTH SYSTEM, INC. |
| NPI Number: | 1104062546 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK NAFZIGER (EXECUTIVE VP - CFO) |
| Mailing Address: | 207 N. Townline Rd Lagrange |
| State: | IN US |
| Postal Code: | 467611325 |
| Phone Number: | 2604632143 |
| Fax Number: | 2604632459 |
| NPI Enumeration Date: | 01/06/2009 |
| NPI Last Update Date: | 05/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 07000383A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |