Organization
COMMUNITY HEALTH NETWORK
Active
Other names
HSPT Speedway
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L KIRKHAM (CFO)
(317) 497-6140
Entity
Organization
Contact information
Practice address
1011 MAIN ST, STE 255, SPEEDWAY, IN 46224-6977
(317) 497-6140
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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