Organization
COMMUNITY HOSPITALS OF INDIANA
Active
Other names
Life's Journey
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY KIRKHAM (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 621-9536
(317) 621-9535
Mailing address
PO BOX 19751, LOWER LEVEL PHYSICIAN BILLING, INDIANAPOLIS, IN 46219-0751
(317) 621-9536
(317) 621-9535
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200805410A
—
IN
05
—
200805410B
—
IN
05
—
200805410C
—
IN
01
—
DE2682
RAILROAD MEDICARE
IN
Enumeration date
11/21/2006
Last updated
10/13/2009
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