Organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L CRAIG (CHIEF FINANCIAL OFFICER)
(812) 353-9171
Entity
Organization
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-5252
(812) 353-5228
Mailing address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-9557
(812) 353-5228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100268090
—
IN
Enumeration date
07/14/2006
Last updated
02/29/2024
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