<Unavail>

LBN: Indiana University
<Unavail> is an health care organization with primary practice located at 200 S Jordan Ave , Bloomington IN 47405-7002. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Indiana University can be contacted via phone (812) 855-4156, or through Humphress, Marcia A via phone (812) 855-4156.

Contact Information

Primary practice address
200 S Jordan Ave Bloomington IN 47405-7002
Phone: (812) 855-4156
Fax: (812) 855-5531
Website:
Map and Directions
Authorized official contact:
Name: Humphress, Marcia A
Phone: (812) 855-4156

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X Indiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Indiana

Profile Details

NPI number 1982693743
LBN Legal business name Indiana University
DBA Doing business as <Unavail>
Authorized official Humphress, Marcia A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 1st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982693743 NPPES
Indiana MEDICAID 100276980A

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