Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Diabetes and Chronic Care Partners
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
8501 EAST 56TH ST, SUITE 130, INDIANAPOLIS, IN 46216-2118
(317) 621-2677
(317) 621-2676
Mailing address
8501 EAST 56TH ST, SUITE 130, INDIANAPOLIS, IN 46216-2118
(317) 621-2677
(317) 621-2676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000540112
ANTHEM
IN
05
—
200881860
—
IN
Enumeration date
10/04/2007
Last updated
12/28/2009
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