Organization
COMMUNITY HOSPITAL OF INDIANA INC
Active
Parent organization
COMMUNITY HOSPITALS OF IN INC
Other names
Gallahue Psych Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITALS OF IN INC
Authorized official
MR. THOMAS P FISCHER JCPA (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization
Contact information
Practice address
7165 CLEARVISTA WAY, PSYCH PAVILION, INDIANAPOLIS, IN 46256-1695
(317) 355-5837
(317) 355-2205
Mailing address
PO BOX 19751, PATIENT ACCOUNTS LOWER LEVEL, INDIANAPOLIS, IN 46219-0751
(317) 355-5837
(317) 355-2205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042460A
—
IN
01
—
202981-000
MAGELLAN
IN
01
—
CF9322
RAILROAD MEDICARE
IN
Enumeration date
06/29/2006
Last updated
05/12/2008
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