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NPI Code Detail

MEDICARE: INDIANA UNIVERSITY HEALTH, INC

MEDICARE: INDIANA UNIVERSITY HEALTH, 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
13336C0003XCommunity/Retail Pharmacy60006255AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
160006255AOTHERINSTATE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669622783
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA UNIVERSITY HEALTH, INC
Provider Business Mailing Address
First Line : 1776 N MERIDIAN ST STE 100A
Second Line : RETAIL PHARMACY ADMIN
City : INDIANAPOLIS
State : IN
Zip : 46202-1468
Country : US
Telephone Number : 317-962-1522
Fax Number :
Provider Business Practice Location Address
First Line : 8820 S. MERIDIAN ST
Second Line : SUITE 105
City : INDIANAPOLIS
State : IN
Zip : 46217-6057
Country : US
Telephone Number : 317-865-6833
Fax Number : 317-865-6832
Authorized Official
Title or Position : EVP & CFO
Name : RYAN KITCHELL
Credential :
Telephone Number : 317-962-2380
Provider Enumeration Date : 09/25/2008
Last Update Date : 03/07/2023

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Directions to “INDIANA UNIVERSITY HEALTH, INC ” Practice Location

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