Healthcare Provider Details
I. General information
NPI: 1750763819
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH URGENT CARE CENTERS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2015
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
996 S STATE ROAD 135 SUITE P
GREENWOOD IN
46143-7365
US
IV. Provider business mailing address
250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US
V. Phone/Fax
- Phone: 225-214-9352
- Fax: 225-214-9349
- Phone: 888-484-3258
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISSA
CASH
Title or Position: VICE PRESIDENT
Credential:
Phone: 317-759-0888