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Fundamental Health, Inc

Internal Medicine Physician in Lafayette, IN · enumerated 2020 · authorized official Julie Miranda, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114529237

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Registry record

Entity type Organization (Type 2)
Legal business name Fundamental Health, Inc
Practice address 1221 S Creasy Ln Ste K3, Lafayette, IN, 47905
Phone (765) 838-2310
Fax (765) 838-1035
Enumeration date Nov 13, 2020
Last updated in NPPES Feb 26, 2021

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Julie Miranda
Title Practice Manager
Phone (765) 838-2310

Other identifiers

Identifier Type State Issuer
1942753082 Other IN NPI
1114529237 Other IN MEN'S HEALTH
1659312759 Other IN NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fundamental Health, Inc?
NPPES lists Julie Miranda (Practice Manager) as the authorized official for this organization.
What is the NPI number for Fundamental Health, Inc?
The NPI for Fundamental Health, Inc is 1114529237, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-26.