MEDICARE: INDIANA UNIVERSITY HEALTH BEDFORD, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	05-005105-1	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548260284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDIANA UNIVERSITY HEALTH BEDFORD, INC

Provider Business Mailing Address
First Line	:	950 N MERIDIAN ST STE 1200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1011
Country	:	US
Telephone Number	:	317-962-1093
Fax Number	:

Provider Business Practice Location Address
First Line	:	2900 W. 16TH ST
Second Line	:
City	:	BEDFORD
State	:	IN
Zip	:	47421-3510
Country	:	US
Telephone Number	:	812-275-1200
Fax Number	:	812-275-1231

Authorized Official
Title or Position	:	CFO
Name	:	MR. MICHAEL CRAIG
Credential	:
Telephone Number	:	812-353-9554

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	10/25/2023

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