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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
1130 MEDICAL ARTS BLVD, SUITE 250, ANDERSON, IN 46011-3431
(765) 298-4282
(317) 298-4989
Mailing address
1130 MEDICAL ARTS BLVD, SUITE 250, ANDERSON, IN 46011-3431
(765) 298-4282
(317) 298-4989
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
—
200326750H
—
IN
01
—
DB4002
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
08/25/2009
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