MEDICARE: INDIANA UNIVERSITY HEALTH INC.

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	282E00000X	Long Term Care Hospital

General Provider Information

NPI Number	:	1215341391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA UNIVERSITY HEALTH INC.

Provider Business Mailing Address
First Line	:	550 UNIVERSITY BLVD RM 3145
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5149
Country	:	US
Telephone Number	:	317-278-3662
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 UNIVERSITY BLVD RM 3145
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5149
Country	:	US
Telephone Number	:	317-278-3662
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VP & CFO
Name	:	MR. RYAN KITCHELL
Credential	:
Telephone Number	:	317-962-2380

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	06/17/2014

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