Provider Demographics
NPI:1972602704
Name:IUPUI HEALTH SERVICES
Entity type:Organization
Organization Name:IUPUI HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RENSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-278-8755
Mailing Address - Street 1:980 INDIANA AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2915
Mailing Address - Country:US
Mailing Address - Phone:317-278-8214
Mailing Address - Fax:317-278-7657
Practice Address - Street 1:980 INDIANA AVE FL 1
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2915
Practice Address - Country:US
Practice Address - Phone:317-278-8214
Practice Address - Fax:317-278-7657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health