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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Northside Womens Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
7250 CLEARVISTA DR, SUITE 380, INDIANAPOLIS, IN 46256-5608
(317) 621-7250
(317) 621-7255
Mailing address
7250 CLEARVISTA DR, SUITE 380, INDIANAPOLIS, IN 46256-5608
(317) 621-7250
(317) 621-7255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526270A
—
IN
Enumeration date
08/14/2006
Last updated
05/06/2010
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