Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Fall Creek Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
9560 E 59TH ST, INDIANAPOLIS, IN 46216-1010
(317) 621-1700
(317) 621-1711
Mailing address
9560 E 59TH ST, INDIANAPOLIS, IN 46216-1010
(317) 621-1700
(317) 621-1711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200869330
—
IN
Enumeration date
07/13/2006
Last updated
09/16/2009
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