Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
9669 E 146TH ST, SUITE 250, NOBLESVILLE, IN 46060-5004
(317) 621-1340
(317) 621-1341
Mailing address
9669 E 146TH ST, SUITE 250, NOBLESVILLE, IN 46060-5004
(317) 621-1340
(317) 621-1341
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
02002532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200913380A
—
IN
Enumeration date
07/11/2008
Last updated
12/30/2009
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