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NPI Code Detail

MEDICARE: INDIANA HEMOPHILIA & THROMBOSIS CENTER, INC.

MEDICARE: INDIANA HEMOPHILIA & THROMBOSIS CENTER, 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
1251F00000XHome Infusion Agency
2207RH0003XHematology & Oncology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1659364800
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA HEMOPHILIA & THROMBOSIS CENTER, INC.
Provider Business Mailing Address
First Line : 8326 NAAB RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1920
Country : US
Telephone Number : 317-871-0011
Fax Number : 317-870-4552
Provider Business Practice Location Address
First Line : 8326 NAAB RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1920
Country : US
Telephone Number : 317-871-0000
Fax Number : 317-871-0010
Authorized Official
Title or Position : COO
Name : MR. ERIC GRAY
Credential :
Telephone Number : 317-871-0011
Provider Enumeration Date : 08/23/2005
Last Update Date : 05/26/2026

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