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Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Pediatric Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
7150 CLEARVISTA DRIVE, CHN PEDIATRIC UNIT, INDIANAPOLIS, IN 46256-1695
(317) 621-9536
(317) 621-9535
Mailing address
7150 CLEARVISTA DRIVE, CHN PEDIATRIC UNIT, INDIANAPOLIS, IN 46256-1695
(317) 621-9536
(317) 621-9535
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523590
ANTHEM
IN
05
—
200862130A
—
IN
01
—
9620052
AETNA
IN
Enumeration date
06/12/2007
Last updated
04/25/2008
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