Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
North RiverCross Orthopaedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
18051 RIVER AVENUE, SUITE 100, NOBLESVILLE, IN 46062-7093
(317) 770-3700
(317) 770-6199
Mailing address
18051 RIVER AVENUE, SUITE 100, NOBLESVILLE, IN 46062-7093
(317) 770-3700
(317) 770-6199
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200940610A
—
IN
Enumeration date
04/07/2009
Last updated
06/30/2009
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