Organization
INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS LLC
Active
Parent organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Authorized official
MR. MICHAEL CRAIG (CFO)
(812) 353-9554
Entity
Organization
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3688
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-4942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
07/26/2022
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