Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Lader Kenneth
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
461 TOWN CENTER ST N, MOORESVILLE, IN 46158-2316
(317) 834-9858
(317) 834-3290
Mailing address
461 TOWN CENTER ST N, MOORESVILLE, IN 46158-2316
(317) 834-9858
(317) 834-3290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200996370A
—
IN
01
—
DB5245
RR MEDICARE
IN
Enumeration date
07/15/2006
Last updated
11/17/2010
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