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INDIANA UNIVERSITY HEALTH BLOOMINGTON INC NPI 1134153224


NPI Information

NPI: 1134153224
Provider Name: INDIANA UNIVERSITY HEALTH BLOOMINGTON INC

Doing Business As: IU HEALTH HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 15D2218216

Address:
619 W 1ST ST
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 353-9557
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INDIANA UNIVERSITY HEALTH BLOOMINGTON INC is a hospice care community based in Bloomington, IN. INDIANA UNIVERSITY HEALTH BLOOMINGTON INC NPI is 1134153224. The provider is registered as an organization entity type.
The provider Is Doing Business As Iu Health Hospice.

The provider's business location address is:

619 W 1ST ST
BLOOMINGTON, IN
ZIP 47403-307
Phone: (812) 353-9557
Fax: (812) 353-5228

The provider's authorized official is Michael L Craig .
The authorized official title is Chief Financial Officer and has the following contact phone number (812) 353-9557.

The CLIA number assigned to this NPI record is 15D2218216 - other - hospital owned off-site c with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 12/7/2016.


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
1251G00000XHospice Care, Community BasedYes

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
1151509MEDICARE OSCAR/CERTIFICATIONINDIANA
2200141660MEDICAIDINDIANA

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: 4/28/2024

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