Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Jane Pardieck MD LLC
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 330, FISHERS, IN 46037-7240
(317) 621-1451
(317) 621-1455
Mailing address
13121 OLIO RD, SUITE 330, FISHERS, IN 46037-7240
(317) 621-1451
(317) 621-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01031102A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000575566
ANTHEM
IN
Enumeration date
07/18/2008
Last updated
01/05/2011
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