Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1679182190 |
| LBN Legal business name | INDIANA UNIVERSITY HEALTH PAOLI INC |
| Authorized official | MICHAEL CRAIG - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 07/30/2020 |
| Last updated | 07/31/2020 - About 6 years ago |
| Identifiers | n/a |
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