Organization
COMMUNITY HEALTH NETWORK, INC.
Active
Other names
Community Hospital North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P FISCHER (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization
Contact information
Practice address
7165 CLEARVISTA WAY, SUITE D2, INDIANAPOLIS, IN 46256-4621
(317) 355-4111
Mailing address
6233 RELIABLE PKWY, CHICAGO, IL 60686-0062
(317) 355-4111
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
005068
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001502
MPLAN PROVIDER NUMBER
—
01
—
000000075267
ANTHEM PROVIDER NUMBER
—
05
—
100385760B
—
IN
01
—
6260365
NORTH AETNA PROV NUMBER
—
01
—
8361750
PROHEALTH PROVIDER NUMBER
—
Enumeration date
02/02/2006
Last updated
06/23/2015
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