| NPI | 1073940664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVI S SIVA Pgy6 317-671-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IN 11017474A) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: IN 11017474A) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2016-06-11 |