Organization
COMMUNITY HEALTH NETWORK INC
Active
Other names
Community Psychiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
1340 EAST COUNTY LINE ROAD, SUITE O, INDIANAPOLIS, IN 46227-0845
(317) 497-6290
(317) 497-6291
Mailing address
6626 E 75TH STREET, STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201031900
—
IN
Enumeration date
03/20/2007
Last updated
04/16/2014
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