# INDIANA UNIVERSITY HEALTH PAOLI, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IU Health Paoli Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124035027
- **Authorized official:** PAMELLA J BOND RPH (OPERATIONS DIRECTOR)
- **Authorized official phone:** (812) 723-7485

## Contact information

- **Practice address:** 642 W HOSPITAL RD, PAOLI, IN 47454-9672
- **Practice address phone:** (812) 723-7435
- **Practice address fax:** (812) 723-7434
- **Mailing address:** 642 W HOSPITAL RD, PO BOX 499, PAOLI, IN 47454-9672
- **Mailing address phone:** (812) 723-7435
- **Mailing address fax:** (812) 723-7434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 60005521A | IN | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 05/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1535523 | NCPDP | IN |
| 05 | — | 200317930A | — | IN |