Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Surgeons of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
7250 CLEARVISTA PARKWAY, SUITE 100, INDIANAPOLIS, IN 46256-4640
(317) 621-1525
(317) 621-1535
Mailing address
7250 CLEARVISTA PARKWAY, SUITE 100, INDIANAPOLIS, IN 46256-4640
(317) 621-1525
(317) 621-1535
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000607166
ANTHEM
IN
Enumeration date
03/16/2009
Last updated
05/01/2009
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