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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
County Line Medical Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1046
(317) 497-6333
(317) 497-6334
Mailing address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1046
(317) 497-6333
(317) 497-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490B
—
IN
Enumeration date
07/18/2006
Last updated
03/29/2010
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