Organization Active NPI

Indiana University Health Bloomington Inc

Doing business as Iu Health Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, IN
National Provider Identifier
1043498850
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Doing business as
Iu Health Home Medical Equipment
Practice address
1355 W Bloomfield Rd
Bloomington, IN 47403-2051
Phone
(812) 353-9557
Fax
(812) 353-5228
NPI assigned
Feb 4, 2008
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
INDIANA UNIVERSITY HEALTH BLOOMINGTON INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael L Craig
Title
Chief Financial Officer
Phone
(812) 353-9557

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IN Primary
Institutional Pharmacy 3336I0012X IN

Addresses

Primary practice location

1355 W Bloomfield Rd
Bloomington, IN 47403-2051

Mailing address

601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 353-9557

Other identifiers 1

IdentifierTypeStateIssuer
200902500AMedicaidIN

Other names 1

  • IU HEALTH HOME MEDICAL EQUIPMENT Doing business as

National Provider Directory

National Provider Directory
Part of
Bloomington Hosp-Amb

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1355 W Bloomfield Rd
Bloomington, IN 47403
Phone (812) 336-7910

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1043498850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032317",
            "telephone_number": "812-353-9557",
            "fax_number": "812-353-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W BLOOMFIELD RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032051",
            "telephone_number": "812-353-9557",
            "fax_number": "812-353-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH BLOOMINGTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA UNIVERSITY HEALTH BLOOMINGTON INC",
        "enumeration_date": "2008-02-04",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "812-353-9557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200902500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU HEALTH HOME MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.