Healthcare Provider Details

I. General information

NPI: 1013130764
Provider Name (Legal Business Name): INDIANA UNIVERSITY HEALTH TIPTON HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S MAIN ST
TIPTON IN
46072-9753
US

IV. Provider business mailing address

1000 S MAIN ST
TIPTON IN
46072-9753
US

V. Phone/Fax

Practice location:
  • Phone: 765-675-8500
  • Fax: 765-675-8520
Mailing address:
  • Phone: 765-675-8500
  • Fax: 765-675-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROLYN SPRINGER
Title or Position: INTERIM CFO, VP FINANCE
Credential:
Phone: 765-675-8507