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Page 1 of 3 ISDH Hospital Service Report State Form 49476 R /7-02 IC 16-21-6 Status Finalized I. Hospital Information Hospital ST. JOSEPH HOSPITAL FORT WAYNE Name Provider 150047 City Fort Wayne County Allen Year 2012 Person Completing the Report Michael Rutkowski Email Address mrutkowski lutheran-hosp.com LICENSURE ACCREDITATION OR DESIGNATED UNITS check all that apply State Licensure Acute License LTC Certification Private Accreditation JCAHO HFAP CMS Specialized CAH TLC Rehab Hosp DRG...
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