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	332B00000X	Durable Medical Equipment & Medical Supplies	60004960A	IN
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	3336H0001X	Home Infusion Therapy Pharmacy	60004960A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518032622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA UNIVERSITY HEALTH, INC

Provider Business Mailing Address
First Line	:	950 N MERIDIAN ST STE 700
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1236
Country	:	US
Telephone Number	:	317-962-4600
Fax Number	:	317-962-4646

Provider Business Practice Location Address
First Line	:	950 N MERIDIAN ST STE 700
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1236
Country	:	US
Telephone Number	:	317-962-4600
Fax Number	:	317-962-4646

Authorized Official
Title or Position	:	EXECUTIVE VP & CFO
Name	:	MS. JENNIFER M ALVEY
Credential	:
Telephone Number	:	317-963-0213

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	08/09/2024

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Directions to “INDIANA UNIVERSITY HEALTH, INC ” Practice Location

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