# INDIANA UNIVERSITY-METHODIST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDIANA -PURDUE UNIVERSITY
- **Other names:** CLARIAN HEALTH MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568812949
- **Legal business name:** INDIANA -PURDUE UNIVERSITY
- **Authorized official:** DR. STYESTOVIA YESTEE STLAUDEREAS JD:/MD;DDO:FACES:PHA (VASCULAR INTERVENTIONAL TECH)
- **Authorized official phone:** (317) 962-2000

## Contact information

- **Practice address:** 1802 N SENATE AVE, WEST SUITE 402, INDIANAPOLIS, IN 46202
- **Practice address phone:** (317) 962-2000
- **Practice address fax:** (317) 962-2003
- **Mailing address:** 8035 E 34TH ST, INDIANAPOLIS, IN 46226-6401
- **Mailing address phone:** (317) 962-2000
- **Mailing address fax:** (317) 962-2003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 881093 | IN | Yes |

## Other

- **Enumeration date:** 06/16/2016
- **Last updated:** 06/16/2016