Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Breast Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
8040 CLEARVISTA PARKWAY, SUITE 290, INDIANAPOLIS, IN 46256-5604
(317) 621-7780
(317) 621-7783
Mailing address
8040 CLEARVISTA PARKWAY, SUITE 290, INDIANAPOLIS, IN 46256-5604
(317) 621-7780
(317) 621-7783
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200934720
—
IN
Enumeration date
03/16/2009
Last updated
11/01/2010
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