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Organization

COMMUNITY HOSPITALS OF INDIANA INC

Active
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Organization

COMMUNITY HOSPITALS OF INDIANA INC

Active
Other names
Parkside Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization

Contact information

Practice address
13050 PARKSIDE DR, SUITE 210, FISHERS, IN 46038-8235
(317) 588-2233
(317) 588-2244
Mailing address
13050 PARKSIDE DR, SUITE 210, FISHERS, IN 46038-8235
(317) 588-2233
(317) 588-2244

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200325490T
IN
01
DB0195
MEDICARE RAILROAD
IN
Enumeration date
07/16/2006
Last updated
02/26/2010
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