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INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS INC NPI 1013953983


NPI Information

NPI: 1013953983
Provider Name: INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1302 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 353-3700
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INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC is a multi-specialty clinic center in Bloomington, IN. INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC NPI is 1013953983. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1302 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403-752
Phone: (812) 353-3700

The provider's authorized official is Michael Craig .
The authorized official title is Cfo and has the following contact phone number (812) 353-9554.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 2/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207V00000XObstetrics & GynecologyNo
6207Y00000XOtolaryngologyNo
7208100000XPhysical Medicine & RehabilitationNo
8208600000XSurgeryNo
9208800000XUrologyNo
10213E00000XPodiatristNo
11363A00000XPhysician AssistantNo
12363L00000XNurse PractitionerNo
13367500000XNurse Anesthetist, Certified RegisteredNo
14261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100433840MEDICAIDINDIANA
2CI4187OTHERRAILROAD MEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.