Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1400 N RITTER AVE, SUITE 231, INDIANAPOLIS, IN 46219-3046
(317) 355-1470
(317) 355-1475
Mailing address
1400 N RITTER AVE, SUITE 231, INDIANAPOLIS, IN 46219-3046
(317) 355-1470
(317) 355-1475
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01059582A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391403
ANTHEM
IN
05
—
200818230
—
IN
01
—
9824143
AETNA
IN
Enumeration date
04/11/2007
Last updated
04/13/2012
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