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Organization

COMMUNITY HOSPITALS OF IN, INC

Active
Parent organization
COMMUNITY HOSPITALS OF IN, INC
Other names
Community Group Clinicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY HOSPITALS OF IN, INC
Authorized official
MR. THOMAS P FISCHER C.P.A. (CHIEF FINANCIAL OFFICER)
(317) 355-4887
Entity
Organization

Contact information

Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 355-5837
(317) 355-2205
Mailing address
PO BOX 19751, LOWER LEVEL PT ACCTS, INDIANAPOLIS, IN 46219-0751
(317) 355-5837
(317) 355-2205

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100415610A
IN
01
CA1777
RAILROAD MEDICARE
IN
Enumeration date
10/19/2006
Last updated
05/09/2008
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