- Facility Name
- IOM Health System LP (dba Lutheran Hospital of Indiana Bariatric Center)
- Provider Number
- 150017; NPI#1306897335
- Date approved
- 09/25/2008
- State
- IN
- Address 1
- 7950 West Jefferson Boulevard
- Address 2
- Ft. Wayne, IN 46804-4140
- Other Information
- ASMBS; Telephone #: 260-435-7098
