Healthcare Provider Details

I. General information

NPI: 1245003318
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 AIRTECH PKWY STE 106B
PLAINFIELD IN
46168-7456
US

IV. Provider business mailing address

390 AIRTECH PKWY STE 106B
PLAINFIELD IN
46168-7456
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-0414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

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