INDIANA UNIVERSITY (NPI# 1508069972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508069972 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY |
| Other Organization Name | IU FORT WAYNE LAFAYETTE STREET FAMILY HEALTH CLINIC |
| Practice Address |
2700 South Lafayette Street Fort Wayne IN 46806 |
| Mailing Address |
2700 S Lafayette Street Suite 200 Fort Wayne IN 46806 |
| Practice Telephone | 2607443000 |
| Mailing Telephone | 2604810400 |
| Mailing Fax Number | 7654961227 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2018-07-12 |
| Authorized Official Name | REBECCA E DIXON (DIRECTOR OF PATIENT CARE SERVICES) |
| Authorized Official Telephone | 3172789059 |
| Authorized Official Credential | MBA, RRT |
| Is Organization Subpart | Y |
| Parent Organization Name | PURDUE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| IU Fort Wayne Lafayette Street Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972915817 | Indiana University | General Acute Care Hospital | 19100 Crest Ave, Apt 88, Castro Valley, CA 94546-8661 | 2014-05-27 |
| 1497799787 | Indiana University | Optometrist | 501 Indiana Ave, Suite 100, Indianapolis, IN 46202-3293 | 2006-06-16 |
| 1780022277 | Indiana University | General Acute Care Hospital | 1701 N. Senate Blvd., Ag012, Indiana University Som., Indianapolis, IN 46202 | 2013-06-06 |
| 1912252594 | Indiana University | Internal Medicine | 1001 W 10th St # M200, Indianapolis, IN 46202-2859 | 2012-07-19 |
| 1366706194 | Indiana University | General Acute Care Hospital | 1001 W 10th St # M200, Wishard Hospital, Indianapolis, IN 46202-2859 | 2012-06-26 |
| 1932493566 | Indiana University | Psychiatric Hospital | 1120 South Dr, Fesler Hall, Room 224, Indianapolis, IN 46202-5135 | 2011-05-31 |
| 1265690085 | Indiana University | General Acute Care Hospital | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2008-05-29 |
| 1639392848 | Indiana University | Optometrist | 501 Indiana Ave, Indianapolis, IN 46202-3293 | 2007-04-10 |
| 1689790552 | Indiana University | Dentist | 1121 W. Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 | 2007-03-22 |
| 1346378643 | Indiana University | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY | 107 S Indiana Avenue, Bloomington, IN 47405-7000 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY BLOOMINGTON | 530 E Kirkwood Ave Ste L03, Bloomington, IN 47408-4003 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY EAST | 2325 Chester Blvd, Richmond, IN 47374-1220 |
| Oklahoma Business Registrations | INDIANA UNIVERSITY FOUNDATION, INC. | Po Box 500, Bloomington, IN 47402 |
| Indiana Business Entities | INDIANA UNIVERSITY HEALTH ARNETT, INC. | 1759 S. 500 East, P.o. Box 5545, Lafayette, IN 47903 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY HEALTH BEDFORD, INC. | 2900 W 16th St, Bedford, IN 47421-3510 |
| System for Award Management (SAM) Entities | INDIANA UNIVERSITY HEALTH BLOOMINGTON, INC. | 601 W 2nd St, Bloomington, IN 47403-2317 |
| Colorado Business Entities | Indiana University Health Care Associates, Inc. | 340 West 10th Street, Fs5100, Indianapolis, IN 46202 |
| Virginia Business Entities | Indiana University Health Inc. | 950 N Meridian St Ste 300, Indianapolis, Indiana 46204-1091 |
| Indiana Business Entities | INDIANA UNIVERSITY HEALTH PROTON THERAPY CENTER, LLC | 2425 North Milo B Sampson Lane, Bloomington, IN 47408 |
| Street Address |
2700 SOUTH LAFAYETTE STREET |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326249376 | Purdue University | Dentist | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841574829 | Daniel E Purvis Jr. | Pharmacist | 222 E Pettit Avenue, Fort Wayne, IN 46806 | 2011-10-07 |
| 1558645754 | Logan M Franke | Pharmacist | 222 E Pettit Ave, Fort Wayne, IN 46806 | 2011-10-06 |
| 1356513725 | Seazoned Med Transportation Service | Non-emergency Medical Transport (VAN) | 2809 Smith Street, Fort Wayne, IN 46806 | 2008-03-26 |
| 1376711267 | Hector F Perez Md PC | Family Medicine | 5717 So Anthony, Ste 500, Fort Wayne, IN 46806 | 2008-02-14 |
| 1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
| 1669622403 | Sally J Hartman | Nurse Practitioner | 2700 S Lafayette St, Suite 200, Fort Wayne, IN 46806-1100 | 2008-09-30 |
| 1003099441 | Lafayette Foot and Ankle Clinic | Podiatrist | 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100 | 2007-12-07 |
| 1033259197 | V E Butler and Associates PC | Pharmacist | 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 | 2007-02-07 |
| 1053376186 | Rebecca Konkin | Nurse Practitioner | 2700 Lafayette St, Ste B-10, Fort Wayne, IN 46806-1100 | 2006-04-20 |
| 1316556848 | Alliance Health Centers, Inc. | Nurse Practitioner | 2700 Lafayette St, Fort Wayne, IN 46806-1100 | 2020-07-30 |
| Find all providers in zip 46806 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891344 | Healthy Communities of Clinton County Inc | Clinic/Center | 1458 Oak St Ste B, Frankfort, IN 46041-3380 | 2020-01-30 |
| 1740305200 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 645 W Morgan St, Spencer, IN 47460-1133 | 2007-03-20 |
| 1295800084 | Dubois-pike-warrick Economic Opportunity Committee, Inc. | Clinic/Center | 607 3rd Ave, Jasper, IN 47546-3636 | 2006-11-21 |
| 1962575423 | Pace Community Action Agency, Inc. | Clinic/Center | 715 Wabash Ave, Vincennes, IN 47591-3216 | 2006-11-15 |
| 1376092320 | Quadmedical | Clinic/Center | 3308 N Mitthoefer Rd, Indianapolis, IN 46235-2332 | 2016-09-30 |
| 1972996247 | Northern Indiana Mch Network | Clinic/Center | 244 S Olive St, South Bend, IN 46619-2100 | 2015-03-11 |
| 1063713154 | Futures Family Planning Clinic | Clinic/Center | 338 S Walnut St, Bloomington, IN 47401-3500 | 2010-11-05 |
| 1962697284 | Monroe County Government | Clinic/Center | 338 S Walnut St, Bloomington, IN 47401-3500 | 2007-09-10 |
| City | FORT WAYNE |
| Zip Code | 46806 |
Please comment or provide details below to improve the information on INDIANA UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.