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

Fundamental Health, Inc

Organization Internal Medicine Physician · NPI 1114529237

Fundamental Health, Inc is an Internal Medicine Physician in Lafayette, Indiana. Works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 S Creasy Ln Ste K3
Lafayette, IN 47905-7430
Phone: (765) 838-2310
Fax: (765) 838-1035
Show map & directions

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

Additional practice locations (2)

  • 412 E Southway Blvd, Kokomo, IN 46902-3814 — (765) 252-0453
  • 1221 South Creasy, Lafayette, IN 47905 — (812) 269-1084

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1114529237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Miranda — Practice Manager · (765) 838-2310
NPI enumeratedNovember 13, 2020
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address1221 S Creasy Ln Ste K3, Lafayette, IN 47905-7430

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