Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Parent organization
COMMUNITY HOSPITALS OF INDIANA INC
Other names
Community Group Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITALS OF INDIANA INC
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-4887
Entity
Organization
Contact information
Practice address
10122 E 10TH ST, SUITE 100, INDIANAPOLIS, IN 46229-2697
(317) 355-5717
(317) 355-3760
Mailing address
3826 SOLUTIONS CTR, CHICAGO, IL 60677-3008
(317) 355-5837
(317) 355-2205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
207V00000X
Obstetrics & Gynecology Physician
—
IN
208000000X
Pediatrics Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236570A
—
IN
01
—
5085061
AETNA
IN
01
—
CA1777
RAILROAD MEDICARE
IN
Enumeration date
06/28/2006
Last updated
10/14/2011
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