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Organization

COMMUNITY HOSPITALS OF INDIANA, INC

Active
Parent organization
COMMUNITY HOSPITALS OF INDIANA, INC
Other names
Serenity Medical Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY HOSPITALS OF INDIANA, INC
Authorized official
MR. JEFFEREY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization

Contact information

Practice address
11590 N MERIDIAN ST, SUITE 170, CARMEL, IN 46032-6963
(317) 621-2211
(317) 621-2218
Mailing address
11590 N MERIDIAN ST, SUITE 170, CARMEL, IN 46032-6963
(317) 621-2211
(317) 621-2218

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200931580A
IN
Enumeration date
09/03/2008
Last updated
11/12/2009
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