INDIANA UNIVERSITY HEALTH CENTER (NPI# 1992970719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992970719 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH CENTER |
| Practice Address |
600 N Jordan Ave Bloomington IN 47405-3190 |
| Practice Telephone | 8128556511 |
| Practice Fax Number | 8128554628 |
| Mailing Telephone | 8128556511 |
| Mailing Fax Number | 8128554628 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MR. PETER L GROGG (ASSOCIATE DIRECTOR) |
| Authorized Official Telephone | 8128556511 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760732945 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-09-14 |
| 1437407491 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-08-23 |
| 1114274156 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2012-08-09 |
| 1609134014 | Indiana University Health Center | Community/Behavioral Health | 600 N Jordan Ave, 3rd Floor, Bloomington, IN 47405-3190 | 2012-04-24 |
| 1568743623 | Indiana University Health Center | Clinic/Center | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2011-09-02 |
| 1558518852 | Indiana University Health Center | Clinical Medical Laboratory | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2008-08-19 |
| 1619079191 | Indiana University Health Center | Pharmacy | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2006-09-04 |
| Street Address |
600 N JORDAN AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47405-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182898 | William T Havens | Physician Assistant | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2005-08-25 |
| 1306470547 | Felicia Cianchetti | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2020-02-26 |
| 1538707823 | Fatima Zaidi | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-12-17 |
| 1942845078 | Daisy Day Anspach | Social Worker | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2019-11-13 |
| 1417443359 | Denise Hayes | Psychologist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2018-07-03 |
| 1891212767 | George Brandon Muncy | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-08-23 |
| 1871013045 | Molly Elaine Mckelfresh | Counselor | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-06-20 |
| 1487193512 | David Boncek | Physical Therapist | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2017-02-22 |
| 1336539345 | Michelle Dodson | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-28 |
| 1093105124 | Kelly Lazzell | Dietitian, Registered | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2015-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245786896 | Jennifer Whitley | Speech-Language Pathologist | 200 S. Jordan Avenue, Bloomington, IN 47405 | 2016-09-01 |
| 1801342621 | William Daniels Jr. | Health Educator | 600 N. Jordan Ave., Bloomington, IN 47405 | 2016-08-31 |
| 1588053664 | Sara Anne Boyer | Preventive Medicine | 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 | 2015-01-13 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1568580314 | Linda Jean Noble | Physical Therapist | Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 | 2007-03-27 |
| 1811482854 | Alexandria Lui | Optometrist | 744 E 3rd St, Bloomington, IN 47405 | 2018-06-22 |
| 1295234763 | Joshua Allan Stommes | Optometrist | 800 E Atwater Ave, Bloomington, IN 47405 | 2018-02-09 |
| 1366432528 | Rebecca D. Eberle | Speech-Language Pathologist | 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 | 2005-10-27 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1245352855 | Kimberly Wagner | Psychologist | 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 | 2007-04-04 |
| Find all providers in zip 47405 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1922518463 | Kids Play Sensory Gym LLC | Clinic/Center | 2010 S Yost Ave, Bloomington, IN 47403-3188 | 2017-10-11 |
| 1508146515 | Lifeview Care Co, Pllc | Clinic/Center | 3600 American Blvd W Ste 225, Bloomington, MN 55431-1079 | 2011-08-22 |
| 1356639058 | Lifeview Care,pllc | Clinic/Center | 3600 American Blvd W, Suite 225, Bloomington, MN 55431-1079 | 2011-07-14 |
| 1962646786 | Carolyn Marion Smith | Clinic/Center | 3620 N Lauren Ln, Bloomington, IN 47404-9206 | 2009-04-23 |
| 1598225328 | Action for East African People Afeap | Clinic/Center | 3701 W Old Shakopee Rd, Bloomington, MN 55431-3555 | 2019-03-20 |
| 1578028288 | Actioncare Community Clinic Inc | Clinic/Center | 10584 France Ave S, Bloomington, MN 55431-3538 | 2019-02-06 |
| 1942778097 | The Sweere Clinic LLC | Clinic/Center | 2501 W 84th St, Bloomington, MN 55431-1602 | 2018-11-07 |
| 1861858953 | Fairview Health Services | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-01-06 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47405 |
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| 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.