# INDIANA UNIVERSITY HEALTH JAY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639940976
- **Authorized official:** JONATHAN W VANATOR (CFO)
- **Authorized official phone:** (765) 741-2891

## Contact information

- **Practice address:** 500 W VOTAW ST, PORTLAND, IN 47371-1322
- **Practice address phone:** (260) 726-8822
- **Mailing address:** 250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
- **Mailing address phone:** (877) 668-5621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 01/15/2024