Organization
COMMUNITY HOSPITALS OF INDIANA
Active
Other names
Community Bariatric Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
7250 CLEARVISTA DRIVE, SUITE 100, INDIANAPOLIS, IN 46256-4640
(317) 621-5673
(317) 621-6040
Mailing address
7250 CLEARVISTA DRIVE, SUITE 100, INDIANAPOLIS, IN 46256-4640
(317) 621-5673
(317) 621-6040
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
2084B0002X
Obesity Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200997330
—
IN
Enumeration date
05/14/2009
Last updated
12/12/2011
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