Healthcare Provider Details

I. General information

NPI: 1073753208
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 08/09/2024
Certification Date: 08/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 RONALD REAGAN PKWY STE 247
AVON IN
46123-6911
US

IV. Provider business mailing address

950 N MERIDIAN ST STE 700
INDIANAPOLIS IN
46204-1236
US

V. Phone/Fax

Practice location:
  • Phone: 317-217-2090
  • Fax: 888-803-9861
Mailing address:
  • Phone: 317-962-4600
  • Fax: 317-962-4646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number69000681A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. JENNIFER M ALVEY
Title or Position: EXECUTIVE VP & CFO
Credential:
Phone: 317-963-0213