Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Cumberland Crossing Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
11501 CUMBERLAND RD, SUITE 500, FISHERS, IN 46037-7010
(317) 621-9393
(317) 621-9383
Mailing address
11501 CUMBERLAND RD, SUITE 500, FISHERS, IN 46037-7010
(317) 621-9393
(317) 621-9383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0469
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
08/11/2010
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