# INDIANA COMMUNITY HEALTH MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093392870
- **Authorized official:** MICHAEL KANE (BOARD MEMBER)
- **Authorized official phone:** (812) 804-3400

## Contact information

- **Practice address:** 111 ARROWHEAD TRL, BEDFORD, IN 47421-5820
- **Practice address phone:** (812) 203-4718
- **Mailing address:** 111 ARROWHEAD TRL, BEDFORD, IN 47421-5820
- **Mailing address phone:** (812) 203-4718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 12/01/2021