Organization
COMMUNITY HOSPITALS OF INDIANA
Active
Other names
Advanced Gynecological Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
1250 N POST ROAD, SUITE B, INDIANAPOLIS, IN 46219-4232
(317) 898-2229
(317) 898-0838
Mailing address
1250 N POST ROAD, SUITE B, INDIANAPOLIS, IN 46219-4232
(317) 898-2229
(317) 898-0838
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200326750U
—
IN
05
—
200978750A
—
IN
05
—
200978750B
—
IN
Enumeration date
07/13/2006
Last updated
06/09/2010
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