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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Alexandria Medical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY THOMAS (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
2116 S PARK AVE, ALEXANDRIA, IN 46001-8048
(765) 724-4455
(765) 724-3386
Mailing address
2116 S PARK AVE, ALEXANDRIA, IN 46001-8048
(765) 724-4455
(765) 724-3386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490J
—
IN
01
—
DB3501
RR MEDICARE
IN
Enumeration date
05/19/2006
Last updated
07/27/2010
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