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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Family Practice Associates of Elwood
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FISCHER (CFO)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1515 S 19TH ST, ELWOOD, IN 46036-2941
(765) 552-7346
Mailing address
1515 S 19TH ST, ELWOOD, IN 46036-2941
(765) 552-7346
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
—
200325490A
—
IN
01
—
DC0120
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
08/26/2009
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