Provider Demographics
NPI:1386717833
Name:INDIANA UNIVERSITY HEALTH, INC
Entity type:Organization
Organization Name:INDIANA UNIVERSITY HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-963-0213
Mailing Address - Street 1:950 N MERIDIAN ST STE 700
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1236
Mailing Address - Country:US
Mailing Address - Phone:317-962-4600
Mailing Address - Fax:317-962-4646
Practice Address - Street 1:11725 ILLINOIS ST STE 485
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3011
Practice Address - Country:US
Practice Address - Phone:317-688-2821
Practice Address - Fax:317-688-2823
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDIANA UNIVERSITY HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-15
Last Update Date:2024-08-09
Deactivation Date:2011-08-09
Deactivation Code:
Reactivation Date:2013-02-14
Provider Licenses
StateLicense IDTaxonomies
IN69001105A332B00000X
332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200285760BMedicaid
IN1133670018Medicare NSC