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Organization

COMMUNITY HOSPITALS OF INDIANA, INC

Active
Other names
Community Spine Center
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS P FISCHER (CFO)
(317) 355-4887
Entity
Organization

Contact information

Practice address
7120 CLEARVISTA DRIVE, SUITE 1500, INDIANAPOLIS, IN 46256
(317) 621-9312
(317) 621-7422
Mailing address
7120 CLEARVISTA DRIVE, SUITE 1500, INDIANAPOLIS, IN 46256
(317) 621-9312
(317) 621-7422

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000526517
ANTHEM
IN
Enumeration date
05/30/2007
Last updated
12/03/2007
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