Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Alexandria Medical Arts
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY THOMAS (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
2116 S PARK AVE, ALEXANDRIA, IN 46001-8048
(765) 724-4455
(765) 724-3386
Mailing address
2116 S PARK AVE, ALEXANDRIA, IN 46001-8048
(765) 724-4455
(765) 724-3386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490J
—
IN
01
—
DB3501
RR MEDICARE
IN
Enumeration date
05/19/2006
Last updated
07/27/2010
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