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Organization

COMMUNITY HOSPITALS OF INDIANA INC

Active
Other names
Yerks Family Medicine
Organization subpart
No

Provider details

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

Contact information

Practice address
8101 CLEARVISTA PARKWAY, SUITE 110, INDIANAPOLIS, IN 46256-4675
(317) 621-2566
(317) 621-2561
Mailing address
8101 CLEARVISTA PARKWAY, SUITE 110, INDIANAPOLIS, IN 46256-4675
(317) 621-2566
(317) 621-2561

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB5363
RR MEDICARE
IN
Enumeration date
07/25/2006
Last updated
07/21/2009
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