# COMMUNITY HOSPITALS OF INDIANA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brillhart OB GYN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912950833
- **Authorized official:** JEFFERY KIRKHAM (CFO)
- **Authorized official phone:** (317) 355-5822

## Contact information

- **Practice address:** 8040 CLEARVISTA PKWY, SUITE 520, INDIANAPOLIS, IN 46256-5604
- **Practice address phone:** (317) 621-2400
- **Practice address fax:** (317) 621-5266
- **Mailing address:** 8040 CLEARVISTA PKWY, SUITE 520, INDIANAPOLIS, IN 46256-5604
- **Mailing address phone:** (317) 621-2400
- **Mailing address fax:** (317) 621-5266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 03/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200485910A | — | IN |
| 01 | — | DD6565 | MEDICARE RAILROAD | IN |