Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Diabetes Internal Medicine and Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
8205 E 56TH STREET, SUITE 100, INDIANAPOLIS, IN 46216-1056
(317) 621-4044
(317) 621-4050
Mailing address
8205 E 56TH STREET, SUITE 100, INDIANAPOLIS, IN 46216-1056
(317) 621-4044
(317) 621-4050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200406960H
—
IN
Enumeration date
05/17/2006
Last updated
10/28/2009
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