Organization Active NPI

Hoosier Wellness Operating Subsidiary, LLC

  • Multi-Specialty Clinic/Center
  • Bloomington, IN
National Provider Identifier
1306795737
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HOOSIER WELLNESS OPERATING SUBSIDIARY, LLC
Practice address
637 S Walker St
Bloomington, IN 47403-2176
Phone
(574) 544-0207
NPI assigned
Jan 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Authorized official

Name
Tara Gurney
Title
Authorized Official
Phone
(561) 517-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

637 S Walker St
Bloomington, IN 47403-2176

Mailing address

2925 10TH Ave N
Palm Springs, FL 33461-3000

Other practice location 1

2529 Schuyler Ave Ste 700
Lafayette, IN 47905-3982
Phone (574) 544-0207

Other practice location 2

215 W 4th St Ste 101
Mishawaka, IN 46544-1917
Phone (574) 544-0207

Other practice location 3

135 Hospital Ln
Terre Haute, IN 47802-4247
Phone (574) 544-0207

Other practice location 4

421 W 1st St Ste 100
Bloomington, IN 47403-2403
Phone (574) 544-0207

Other practice location 5

14555 Hazel Dell Pkwy Ste 145B
Carmel, IN 46033-7000
Phone (574) 544-0207

Other practice location 6

1578 E 85th Ave
Merrillville, IN 46410-8900
Phone (574) 544-0207

National Provider Directory

National Provider Directory

Locations

14555 Hazel Dell Pkwy
Ste 145
Carmel, IN 46033
Phone (574) 544-0207

2529 Schuyler Ave
Ste 700
Lafayette, IN 47905
Phone (217) 822-6360

135 Hospital Ln
Terre Haute, IN 47802
Phone (812) 478-3900

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789862400000",
    "number": "1306795737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032176",
            "telephone_number": "574-544-0207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 Schuyler Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479053982",
            "country_code": "US",
            "telephone_number": "574-544-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 W 4th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465441917",
            "country_code": "US",
            "telephone_number": "574-544-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024247",
            "country_code": "US",
            "telephone_number": "574-544-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 W 1st St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032403",
            "country_code": "US",
            "telephone_number": "574-544-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14555 Hazel Dell Pkwy Ste 145B",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460337000",
            "country_code": "US",
            "telephone_number": "574-544-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1578 E 85th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464108900",
            "country_code": "US",
            "telephone_number": "574-544-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOOSIER WELLNESS OPERATING SUBSIDIARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A",
        "authorized_official_last_name": "GURNEY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-517-3400"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 20, 2026; 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.