Organization
INFANTS IN BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MOUSER (EXECUTIVE DIRECTOR)
(812) 820-4055
Entity
Organization
Contact information
Practice address
601 WEST STREET, SUITE B, MADISON, IN 47250-3344
(812) 599-6620
Mailing address
PO BOX 795, HANOVER, IN 47243-0795
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376577767
—
IN
05
—
1689960429
—
IN
Enumeration date
08/26/2024
Last updated
01/27/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up