Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Family Practice Associates of Elwood
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS FISCHER (CFO)
(317) 355-4887
Entity
Organization
Contact information
Practice address
1515 S 19TH ST, ELWOOD, IN 46036-2941
(765) 552-7346
Mailing address
1515 S 19TH ST, ELWOOD, IN 46036-2941
(765) 552-7346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490A
—
IN
01
—
DC0120
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
08/26/2009
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