Provider Demographics
NPI:1578887386
Name:INDIANA UNIVERSITY HEALTH, INC
Entity Type:Organization
Organization Name:INDIANA UNIVERSITY HEALTH, INC
Other - Org Name:INDIANA UNIVERSITY HEALTH BALL MEMORIAL SLEEP APNEA EDUCATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP/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 1:6004 W KILGORE AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4726
Practice Address - Country:US
Practice Address - Phone:888-802-9791
Practice Address - Fax:888-803-9861
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INDIANA UNIVERSITY HEALTH, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-23
Last Update Date:2020-09-28
Deactivation Date:2013-12-20
Deactivation Code:
Reactivation Date:2016-11-30
Provider Licenses
StateLicense IDTaxonomies
IN69001369A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201097830AMedicaid
IN1133670031Medicare NSC