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Organization
COMMUNITY HOSPITALS OF INDIANA, INC.
Active
Organization
COMMUNITY HOSPITALS OF INDIANA, INC.
Active
Other names
Transitional Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P. FISCHER (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-4111
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-4111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005068-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001502
MPLAN PROVIDER NUMBER
—
01
—
000000106937
ANTHEM PROVIDER NUMBER
—
01
—
6260365
AETNA PROVIDER NUMBER
—
01
—
8361750
PROHEALTH PROVIDER NUMBER
—
Enumeration date
02/01/2006
Last updated
08/22/2020
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