NPIMap

Organization Active NPI

Iu Health Arnett Hospital, Inc

  • Ambulatory Surgical Clinic/Center
  • Lafayette, IN
National Provider Identifier
1174588099
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10011506-1 Issued in IN
Legal business name
IU HEALTH ARNETT HOSPITAL, INC
Practice address
1327 S 500 E
Lafayette, IN 47905-8718
Phone
(765) 448-8000
Fax
(765) 446-4619
NPI assigned
Apr 20, 2006
Organization subpart
Yes
Parent organization
IU HEALTH ARNETT HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Alfonso Gatmaitan
Title
Ceo
Phone
(765) 448-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 10011506-1 IN Primary

Addresses

Primary practice location

1327 S 500 E
Lafayette, IN 47905-8718

Mailing address

PO Box 7301
Lafayette, IN 47903-7301
Phone (765) 448-8000

Other identifiers 2

IdentifierTypeStateIssuer
000000579846OtherINANTHEM PROVIDER PIN FOR IU HEALTH ARNETT HOSPITAL, INC
200924720MedicaidIN

Other names 1

  • Arnett Surgery Center, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Indiana University Health Arnett Inc9 organizations share this tax ID, including this one
Part of
Indiana University Health Arnett Inc

Other organizations with this tax ID 8

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

Locations

1327 Veterans Memorial Pkwy E
#7301
Lafayette, IN 47905

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1174588099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7301",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479037301",
            "telephone_number": "765-448-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 S 500 E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058718",
            "telephone_number": "765-448-8000",
            "fax_number": "765-446-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IU HEALTH ARNETT HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IU HEALTH ARNETT HOSPITAL",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GATMAITAN",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-448-8000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "10011506-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER PIN FOR IU HEALTH ARNETT HOSPITAL, INC",
            "identifier": "000000579846",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200924720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arnett Surgery Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.