| Indiana University Health, Inc | |
|
1701 N Senate Blvd Indianapolis IN 46202-1239 | |
| (317) 962-2000 | |
| Not Available |
| Full Name | Indiana University Health, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 N Senate Blvd, Indianapolis, Indiana |
| Authorized Official Name and Position | Jennifer Alvey (CFO) |
| Authorized Official Contact | 3179630213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health, Inc 250 N Shadeland Ave Indianapolis IN 46219-4959 Ph: (888) 484-3258 | Indiana University Health, Inc 1701 N Senate Blvd Indianapolis IN 46202-1239 Ph: (317) 962-2000 |
| NPI Number | 1376586719 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 2365350675 |
|---|---|
| Medicare Enrollment ID | O20031112000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376586719 | NPI | - | NPPES |
| 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 |
| Provider Name | Robert C Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811066608 PECOS PAC ID: 3375590680 Enrollment ID: I20160509000855 |
| Provider Name | Brian Wallace Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770791378 PECOS PAC ID: 1557653375 Enrollment ID: I20160714000722 |
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