Organization
INDIANA UNIVERSITY HEALTH WEST HOSPITAL, INC
Active
Other names
Clarian Health West, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BAILEY (PRESIDENT, CEO)
(317) 217-3043
Entity
Organization
Contact information
Practice address
1111 RONALD REAGAN PKWY, BUILDING C, AVON, IN 46123-7085
(317) 217-3043
Mailing address
250 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4836
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
08/03/2012
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