MEDICARE: INDIANA UNIVERSITY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	71001902A	IN

General Provider Information

NPI Number	:	1144227455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA UNIVERSITY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	545 BARNHILL DR
Second Line	:	EMERSON HALL ROOM 236
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5112
Country	:	US
Telephone Number	:	317-274-5407
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 BARNHILL DR
Second Line	:	EMERSON HALL ROOM 236
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5112
Country	:	US
Telephone Number	:	317-274-5407
Fax Number	:

Authorized Official
Title or Position	:	ACUTE CARE NURSE PRACTITIONER
Name	:	MRS. YVONNE MARIE KIEFFER
Credential	:	NP
Telephone Number	:	317-569-1593

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/22/2020

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