Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
David Vickery MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
11890 E WELLAND ST, CUMBERLAND, IN 46229-2964
(317) 355-1752
(317) 355-1750
Mailing address
11890 E WELLAND ST, CUMBERLAND, IN 46229-2964
(317) 355-1752
(317) 355-1750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB1057
RR MEDICARE
IN
Enumeration date
07/18/2006
Last updated
09/08/2010
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