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Organization
INDIANA COMMUNITY HEALTH MEDICAL CENTER, INC.
Active
Organization
INDIANA COMMUNITY HEALTH MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KANE (BOARD MEMBER)
(812) 804-3400
Entity
Organization
Contact information
Practice address
111 ARROWHEAD TRL, BEDFORD, IN 47421-5820
(812) 203-4718
Mailing address
111 ARROWHEAD TRL, BEDFORD, IN 47421-5820
(812) 203-4718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
03/26/2021
Last updated
12/01/2021
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