Provider Demographics
NPI:1548260284
Name:INDIANA UNIVERSITY HEALTH BEDFORD, INC
Entity type:Organization
Organization Name:INDIANA UNIVERSITY HEALTH BEDFORD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-353-9554
Mailing Address - Street 1:950 N MERIDIAN ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1011
Mailing Address - Country:US
Mailing Address - Phone:317-962-1093
Mailing Address - Fax:
Practice Address - Street 1:2900 W. 16TH ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-3510
Practice Address - Country:US
Practice Address - Phone:812-275-1200
Practice Address - Fax:812-275-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05-005105-1282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
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StateIdentifier IDID TypeIssuer
IN100267990Medicaid
IN100268000Medicaid
IN100387440Medicaid
IN20033230Medicaid
IN100387440Medicaid
IN151328Medicare Oscar/Certification
IN940070Medicare PIN