Dynamic List Information
Dynamic List Data
Facility
Lutheran Hospital of Indiana
Provider Number
150017
Date of Initial Certification
2003-10-29
Date of Re-Certification
2022-09-22
Address
7950 W Jefferson Boulevard
Fort Wayne, IN 46804
United States
JHACO ID #: 7157
Previous Re-certification Dates: 09/14/2010; 10/24/2012; 10/21/2014; 11/01/2016; 05/05/2021