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Organization

INDIANA NEIGHBORHOOD HOSPITAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD FOGEL M.D. (PRESIDENT)
(317) 338-7074
Entity
Organization

Contact information

Practice address
9613 E US HIGHWAY 36, AVON, IN 46123-7978
(317) 613-5300
(317) 338-6960
Mailing address
250 WEST 96TH STREET, SUITE 400, INDIANAPOLIS, IN 46260-1316
(317) 338-2432
(317) 338-6960

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208M00000X
Hospitalist Physician

Other

Enumeration date
06/21/2017
Last updated
06/07/2019
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