Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
1130 MEDICAL ARTS BLVD, SUITE 250, ANDERSON, IN 46011-3431
(765) 298-4282
(317) 298-4989
Mailing address
1130 MEDICAL ARTS BLVD, SUITE 250, ANDERSON, IN 46011-3431
(765) 298-4282
(317) 298-4989
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200326750H
—
IN
01
—
DB4002
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
08/25/2009
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