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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Castleton Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
6925 E 96TH STREET, SUITE 150, INDIANAPOLIS, IN 46250-3648
(317) 621-6925
(317) 621-6950
Mailing address
6925 E 96TH STREET, SUITE 150, INDIANAPOLIS, IN 46250-3648
(317) 621-6925
(317) 621-6950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5943
RR MEDICARE
IN
Enumeration date
05/20/2006
Last updated
09/10/2009
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