Provider Demographics
NPI:1518032622
Name:INDIANA UNIVERSITY HEALTH, INC
Entity Type:Organization
Organization Name:INDIANA UNIVERSITY HEALTH, INC
Other - Org Name:INDIANA UNIVERSITY HEALTH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-963-0213
Mailing Address - Street 1:950 N MERIDIAN ST STE 700
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1236
Mailing Address - Country:US
Mailing Address - Phone:317-962-4600
Mailing Address - Fax:317-962-4646
Practice Address - Street 1:950 N MERIDIAN ST STE 700
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1236
Practice Address - Country:US
Practice Address - Phone:317-962-4600
Practice Address - Fax:317-962-4646
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDIANA UNIVERSITY HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-22
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN60004960A332B00000X, 3336H0001X
332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200118910AMedicaid
IN200321150AMedicaid
IN200118910AMedicaid