Healthcare Provider Details

I. General information

NPI: 1114302965
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH URGENT CARE CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2015
Last Update Date: 07/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 E GARNER RD
BROWNSBURG IN
46112-9359
US

IV. Provider business mailing address

10319 JEFFERSON HWY
BATON ROUGE LA
70809-2730
US

V. Phone/Fax

Practice location:
  • Phone: 225-214-9352
  • Fax: 225-214-9349
Mailing address:
  • Phone: 225-214-9352
  • Fax: 225-214-9349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVE SELLARS
Title or Position: COO/PRESIDENT
Credential:
Phone: 225-214-9353