Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Castleton Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
6925 E 96TH STREET, SUITE 150, INDIANAPOLIS, IN 46250-3648
(317) 621-6925
(317) 621-6950
Mailing address
6925 E 96TH STREET, SUITE 150, INDIANAPOLIS, IN 46250-3648
(317) 621-6925
(317) 621-6950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5943
RR MEDICARE
IN
Enumeration date
05/20/2006
Last updated
09/10/2009
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