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Organization

COMMUNITY HOSPITALS OF INDIANA INC

Active
Other names
Olio Road Family Care
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization

Contact information

Practice address
13121 OLIO RD, SUITE 300, FISHERS, IN 46037-7240
(317) 621-1300
(317) 621-1310
Mailing address
13121 OLIO RD, SUITE 300, FISHERS, IN 46037-7240
(317) 621-1300
(317) 621-1310

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200526840A
IN
01
DD8792
RR MEDICARE
IN
Enumeration date
07/16/2006
Last updated
11/30/2009
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