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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