Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
7250 CLEARVISTA DR, SUITE 120, INDIANAPOLIS, IN 46256-4699
(317) 621-2740
(317) 621-5658
Mailing address
7250 CLEARVISTA DR, SUITE 120, INDIANAPOLIS, IN 46256-4699
(317) 621-2740
(317) 621-5658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000637502
ANTHEM
IN
05
—
200963780
—
IN
Enumeration date
05/21/2009
Last updated
07/13/2011
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