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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HOOSIER WELLNESS OPERATING SUBSIDIARY, LLC
NPI 1730753294
Clinic/Center - Multi-Specialty in Bloomington, IN

Active since May 18, 2021
421 W 1ST ST, BLOOMINGTON, IN 47403(574) 703-4706 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 11, 2026, Jan 19, 2026, Sep 4, 2025 and 9 more (12 updates tracked since 2021).

About Hoosier Wellness Operating Subsidiary, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOOSIER WELLNESS OPERATING SUBSIDIARY, LLC (NPI 1730753294) is a healthcare organization registered as a multi-specialty in Bloomington, Indiana and active in the NPI registry since May 2021. The organization maintains 5 additional practice locations and lists Tara Gurney, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1730753294
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameHOOSIER WELLNESS OPERATING SUBSIDIARY, LLC
Location Address421 W 1ST STBloomington, IN 47403-2403
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(574) 703-4706
Organization SubpartNo
Authorized OfficialTara GurneyAuthorized Official · (561) 517-3400
Enumeration DateMay 18, 2021
Last NPPES UpdateSeptember 11, 202612 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1730753294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
421 W 1ST ST, Bloomington, IN 47403
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Secondary Practice Locations 5

Location 12529 Schuyler Ave Ste 700-ALafayette, IN 47905-3979 · Phone (561) 461-3791
Location 27900 W Jefferson Blvd Ste AFort Wayne, IN 46804-4128 · Phone (561) 635-2400
Location 3215 W 4th St Ste 101Mishawaka, IN 46544-1917 · Phone (561) 461-3791
Location 414555 Hazel Dell Pkwy Ste 140Carmel, IN 46033-7234 · Phone (844) 650-0064
Location 51578 E 85th AveMerrillville, IN 46410-8900 · Phone (561) 461-3791

Other Identifiers 2

Other1497891840IN · Michael Kane
Other1467936070IN · Dawn Johnson

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELIZABETH ROSS BIRCH MS, CNM
Advanced Practice Midwife
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 336-0168
HOOSIER WELLNESS OPERATING SUBSIDIARY, LLC
Clinic/Center (Multi-Specialty)
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (561) 635-2400
MR. CHARLES R. MCKEEN III MD
Surgery
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 332-3531
LELAND R MATTHEWS MD
Obstetrics & Gynecology (Gynecology)
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 336-0168
LINDSEY R WILLIAMS NP
Nurse Practitioner
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 332-3531
DR. ROBERT SUNG MD
Surgery
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 332-3531
MARTHA LEE MATTHEWS RN, PHD, HSPP
Psychologist (Counseling)
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 336-0168
DR. JASON WINFIELD KENNARD MD
Surgery
421 W 1ST ST
BLOOMINGTON, IN 47403
Monroe County (812) 332-3531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hoosier Wellness Operating Subsidiary, LLC's NPI number?

The NPI number for Hoosier Wellness Operating Subsidiary, LLC is 1730753294. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is Hoosier Wellness Operating Subsidiary, LLC located?

Hoosier Wellness Operating Subsidiary, LLC is located at 421 W 1st St, Bloomington, IN 47403. The listed phone number is (574) 703-4706.

What is Hoosier Wellness Operating Subsidiary, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Hoosier Wellness Operating Subsidiary, LLC was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.