Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairbanks Hospital, Inc

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1619072493

Fairbanks Hospital, Inc is an Addiction Medicine (Internal Medicine) Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8102 Clearvista Pkwy
Indianapolis, IN 46256-1661
Phone: (317) 849-8222
Fax: (317) 849-1455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence 835-1-P1P (IN)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X

Record details

NPI number1619072493
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Millard — Evp Finance · (317) 355-5860
Other names Fairbanks; Fairbanks
NPI enumeratedSeptember 14, 2006
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address8102 Clearvista Pkwy, Indianapolis, IN 46256-1661

Other providers in Indianapolis