Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Albert Blake MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
9015 E 17TH ST, INDIANAPOLIS, IN 46229-2016
(317) 898-3166
(317) 898-4219
Mailing address
9015 E 17TH ST, INDIANAPOLIS, IN 46229-2016
(317) 898-3166
(317) 898-4219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312985
ANTHEM
IN
05
—
200325490H
—
IN
Enumeration date
05/31/2006
Last updated
03/15/2010
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