# COMMUNITY HOSPITALS OF INDIANA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** David Vickery MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124046032
- **Authorized official:** JEFFERY KIRKHAM (CFO)
- **Authorized official phone:** (317) 355-5822

## Contact information

- **Practice address:** 11890 E WELLAND ST, CUMBERLAND, IN 46229-2964
- **Practice address phone:** (317) 355-1752
- **Practice address fax:** (317) 355-1750
- **Mailing address:** 11890 E WELLAND ST, CUMBERLAND, IN 46229-2964
- **Mailing address phone:** (317) 355-1752
- **Mailing address fax:** (317) 355-1750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 09/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DB1057 | RR MEDICARE | IN |