Healthcare Provider Details

I. General information

NPI: 1114958584
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 03/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 RILEY HOSPITAL DR
INDIANAPOLIS IN
46202-5109
US

IV. Provider business mailing address

950 N MERIDIAN ST STE 1200
INDIANAPOLIS IN
46204-1011
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-8244
  • Fax:
Mailing address:
  • Phone: 317-962-1093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ALVEY
Title or Position: SVP / CFO
Credential:
Phone: 317-963-0213