Organization
CHS INDIANA MEDICAL, P.C.
Active
Parent organization
CHS HEALTH SERVICES, LLC
Other names
The Center for Healthy Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHS HEALTH SERVICES, LLC
Authorized official
STUART CLARK (EXECUTIVE VP)
(615) 577-5890
Entity
Organization
Contact information
Practice address
1400 W STATE ST, WEST LAFAYETTE, IN 47906-3438
(703) 760-0700
Mailing address
5500 MARYLAND WAY STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
08/17/2016
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