# COMMUNITY HOSPITALS OF INDIANA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arbor Lane Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891824447
- **Authorized official:** JEFFERY KIRKHAM (CFO)
- **Authorized official phone:** (317) 355-5822

## Contact information

- **Practice address:** 4037 SOUTH ARBOR LANE, SUITE D, NEW PALESTINE, IN 46163-8644
- **Practice address phone:** (317) 355-9355
- **Practice address fax:** (317) 355-9350
- **Mailing address:** 4037 SOUTH ARBOR LANE, SUITE D, NEW PALESTINE, IN 46163-8644
- **Mailing address phone:** (317) 355-9355
- **Mailing address fax:** (317) 355-9350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 06/25/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200864070A | — | IN |