Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Eastside Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
2920 N ARLINGTON AVE, SUITE B, INDIANAPOLIS, IN 46218-3362
(317) 355-9431
(317) 355-9445
Mailing address
2920 N ARLINGTON AVE, SUITE B, INDIANAPOLIS, IN 46218-3362
(317) 355-9431
(317) 355-9445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490V
—
IN
01
—
DB6359
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
03/11/2010
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