Organization
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Active
Other names
North Central Indiana Internists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE T BROWN (COO)
(765) 453-8456
Entity
Organization
Contact information
Practice address
3504 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 864-5790
Mailing address
PO BOX 661, INDIANAPOLIS, IN 46206-0661
(765) 864-5790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02003102
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200333160D
—
IN
Enumeration date
08/22/2008
Last updated
12/06/2010
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