Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
County Line Medical Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1046
(317) 497-6333
(317) 497-6334
Mailing address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1046
(317) 497-6333
(317) 497-6334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490B
—
IN
Enumeration date
07/18/2006
Last updated
03/29/2010
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