Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Broadway Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
3113 BROADWAY ST, ANDERSON, IN 46012-1261
(765) 640-9252
(765) 640-9439
Mailing address
3113 BROADWAY ST, ANDERSON, IN 46012-1261
(765) 640-9252
(765) 640-9439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200239920B
—
IN
Enumeration date
08/27/2008
Last updated
11/02/2009
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