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Organization
INDIANA UNIVERSITY HEALTH WEST HOSPITAL INC
Active
Organization
INDIANA UNIVERSITY HEALTH WEST HOSPITAL INC
Active
Other names
IU Health West Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH D. PUCKETT (PRESIDENT)
(317) 217-3000
Entity
Organization
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
005051
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200505180
—
IN
05
—
2594858
—
OH
Enumeration date
07/05/2006
Last updated
10/25/2023
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