INDIANA UNIVERSITY HEALTH, INC

Provider Demographics

• NPI: 1376586719
• Name: INDIANA UNIVERSITY HEALTH, INC
• Entity Type: Organization
• Organization Name: INDIANA UNIVERSITY HEALTH, INC
• Other - Org Name: CLARIAN HEALTH PARTNERS, INC
• Other - Org Type: Former Legal Business Name
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: JENNIFER
• Authorized Official - Last Name: ALVEY
• Authorized Official - Phone: 317-963-0213
• Mailing Address - Street 1: 250 N SHADELAND AVE
• Mailing Address - City: INDIANAPOLIS
• Mailing Address - State: IN
• Mailing Address - Zip Code: 46219-4959
• Mailing Address - Country: US
• Mailing Address - Phone: 888-484-3258
• Mailing Address - Fax: 317-968-1074
• Practice Address - Street 1: 1701 N SENATE BLVD
• Practice Address - City: INDIANAPOLIS
• Practice Address - State: IN
• Practice Address - Zip Code: 46202-1239
• Practice Address - Country: US
• Practice Address - Phone: 317-962-2000
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-14
• Last Update Date: 2023-09-19

Provider Licenses

State	License ID	Taxonomies
IN		101YM0800X, 103TC0700X, 1041C0700X, 207RC0000X, 207RG0300X, 207RH0000X, 207RH0003X, 207RI0200X, 207RR0500X, 207RX0202X, 2080A0000X, 2085R0001X, 208600000X, 235Z00000X, 363L00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Single Specialty
No	101YM0800X	Behavioral Health & Social Service Providers	Counselor	Mental Health	Group - Single Specialty
No	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Single Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Single Specialty
No	207RG0300X	Allopathic & Osteopathic Physicians	Internal Medicine	Geriatric Medicine	Group - Single Specialty
No	207RH0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology	Group - Single Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Single Specialty
No	207RI0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Infectious Disease	Group - Single Specialty
No	207RR0500X	Allopathic & Osteopathic Physicians	Internal Medicine	Rheumatology	Group - Single Specialty
No	207RX0202X	Allopathic & Osteopathic Physicians	Internal Medicine	Medical Oncology	Group - Single Specialty
No	2080A0000X	Allopathic & Osteopathic Physicians	Pediatrics	Adolescent Medicine	Group - Single Specialty
No	2085R0001X	Allopathic & Osteopathic Physicians	Radiology	Radiation Oncology	Group - Single Specialty
No	208600000X	Allopathic & Osteopathic Physicians	Surgery		Group - Single Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Single Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	200039850	Medicaid
IN	200851850	Medicaid
IN	200015180	Medicaid
IN	100361630	Medicaid
IN	200457660	Medicaid
IN	200890480A	Medicaid
IN	201016120	Medicaid
IN	200338150	Medicaid
IN	200021740	Medicaid
IN	200716120	Medicaid
IN	256170	Medicare PIN
IN	188920	Medicare PIN
IN	675920	Medicare PIN
IN	200015180	Medicaid
IN	210870	Medicare PIN
IN	198330	Medicare PIN
IN	188910	Medicare PIN
IN	100361630	Medicaid
IN	210880	Medicare PIN
IN	200457660	Medicaid
IN	161060	Medicare PIN
IN	250120	Medicare PIN
IN	216740	Medicare PIN
IN	200039850	Medicaid
IN	234450	Medicare PIN