Organization
COMMUNITY HEALTH NETWORK, INC
Active
Other names
Community Hospital East
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MILLARD (SVP FINANCE)
(317) 355-5860
Entity
Organization
Contact information
Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-1411
Mailing address
6233 RELIABLE PKWY, CHICAGO, IL 60686-0062
(317) 355-1411
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
005068
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001502
MPLAN PROVIDER NUMBER
—
01
—
000000075267
NORTH ANTHEM PROV NUMBER
—
05
—
100375490A
—
IN
05
—
100375510A
—
IN
05
—
100385760A
—
IN
05
—
100385760B
—
IN
01
—
6260365
EAST AETNA PROV NUMBER
—
01
—
6260800
NORTH AETNA PROV. NUMBER
—
01
—
8361750
PROHEALTH PROVIDER NUMBER
—
Enumeration date
01/23/2006
Last updated
02/23/2022
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