NPIMap

Organization Active NPI

Indiana University Health Bloomington Inc

Doing business as Iu Health Bloomington

  • Case Management Agency
  • Bloomington, IN
National Provider Identifier
1710196969
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Doing business as
Iu Health Bloomington
Practice address
333 E Miller Dr
Bloomington, IN 47401-6557
Phone
(812) 353-5819
Fax
(812) 353-5228
NPI assigned
May 22, 2007
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. James J Myers
Title
Chief Financial Officer
Phone
(812) 353-9551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IN Primary

Addresses

Primary practice location

333 E Miller Dr
Bloomington, IN 47401-6557

Mailing address

601 W 2ND St
Bloomington, IN 47403-2317
Phone (812) 353-5819

Other identifiers 1

IdentifierTypeStateIssuer
200323260MedicaidIN

Other names 1

  • IU HEALTH BLOOMINGTON Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bloominton Hospital Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1710196969",
    "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": "812-353-5819",
            "fax_number": "812-353-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E MILLER DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474016557",
            "telephone_number": "812-353-5819",
            "fax_number": "812-353-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY HEALTH BLOOMINGTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "812-353-9551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IU HEALTH BLOOMINGTON",
            "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 4, 2011; 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.