NPIMap

Organization Active NPI

Indiana University Health Paoli, Inc

Doing business as IU Health Paoli Hospital

  • Institutional Pharmacy
  • Paoli, IN
National Provider Identifier
1124035027
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
60005521A Issued in IN
Legal business name
INDIANA UNIVERSITY HEALTH PAOLI, INC
Doing business as
IU Health Paoli Hospital
Practice address
642 W Hospital Rd
Paoli, IN 47454-9672
Phone
(812) 723-7435
Fax
(812) 723-7434
NPI assigned
Aug 2, 2006
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Pamella J Bond, RPH
Title
Operations Director
Phone
(812) 723-7485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 60005521A IN Primary

Addresses

Primary practice location

642 W Hospital Rd
Paoli, IN 47454-9672

Mailing address

642 W Hospital Rd
PO Box 499
Paoli, IN 47454-9672
Phone (812) 723-7435

Other identifiers 2

IdentifierTypeStateIssuer
200317930AMedicaidIN
1535523OtherINNCPDP

Other names 1

  • IU Health Paoli Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bloomington Hospital of O5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1124035027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 W HOSPITAL RD",
            "address_2": "PO BOX 499",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549672",
            "telephone_number": "812-723-7435",
            "fax_number": "812-723-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549672",
            "telephone_number": "812-723-7435",
            "fax_number": "812-723-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH PAOLI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "812-723-7485",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "IN",
            "license": "60005521A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200317930A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1535523",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU Health Paoli Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paoli, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.