Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Southside Adult Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
45 N MADISON AVE, GREENWOOD, IN 46142-3526
(317) 887-7624
(317) 887-7625
Mailing address
45 N MADISON AVE, GREENWOOD, IN 46142-3526
(317) 887-7624
(317) 887-7625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200889990A
—
IN
Enumeration date
05/18/2006
Last updated
11/02/2009
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