Organization
INDIANA UNIVERSITY HEALTH WEST HOSPITAL INC
Active
Other names
IU Health West Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH D. PUCKETT (PRESIDENT)
(317) 217-3000
Entity
Organization
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
005051
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200505180
—
IN
05
—
2594858
—
OH
Enumeration date
07/05/2006
Last updated
10/25/2023
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