# COMMUNITY HOSPITALS OF INDIANA INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY HOSPITALS OF INDIANA INC
- **Other names:** Community Group Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689602047
- **Legal business name:** COMMUNITY HOSPITALS OF INDIANA INC
- **Authorized official:** JEFFERY KIRKHAM (CFO)
- **Authorized official phone:** (317) 355-4887

## Contact information

- **Practice address:** 10122 E 10TH ST, SUITE 100, INDIANAPOLIS, IN 46229-2697
- **Practice address phone:** (317) 355-5717
- **Practice address fax:** (317) 355-3760
- **Mailing address:** 3826 SOLUTIONS CTR, CHICAGO, IL 60677-3008
- **Mailing address phone:** (317) 355-5837
- **Mailing address fax:** (317) 355-2205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | IN | — |
| 208000000X | Pediatrics Physician | — | IN | — |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 10/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100236570A | — | IN |
| 01 | — | 5085061 | AETNA | IN |
| 01 | — | CA1777 | RAILROAD MEDICARE | IN |