| Indiana University Health Care Associates, Inc. | |
|
1800 N Capitol Ave B445 Indianapolis IN 46202-1218 | |
| (317) 944-3500 | |
| Not Available |
| Full Name | Indiana University Health Care Associates, Inc. |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 1800 N Capitol Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Lori Luther (CFO) |
| Authorized Official Contact | 3179483522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana University Health Care Associates, Inc. 250 N Shadeland Ave Suite 130 Indianapolis IN 46219-4959 Ph: (317) 963-0954 | Indiana University Health Care Associates, Inc. 1800 N Capitol Ave B445 Indianapolis IN 46202-1218 Ph: (317) 944-3500 |
| NPI Number | 1679949002 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Medicare PECOS PAC ID | 5799755864 |
|---|---|
| Medicare Enrollment ID | O20220531002713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679949002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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