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General NPI Number Information
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NPI Number | 1134153224
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Entity Type | Organization
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Legal Business Name | INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 619 W 1ST ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2307
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Country | US
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Telephone | 812-353-9557
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Fax | 812-353-5228
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Provider Business Mailing Address
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Address Line | 601 W 2ND ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2317
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Country | US
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Telephone | 812-353-9557
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Fax | 812-353-5228
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. MICHAEL L CRAIG
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Credential |
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Telephone | 812-353-9557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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