Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
10122 E 10TH ST, SUITE 220, INDIANAPOLIS, IN 46229-2664
(317) 355-2200
(317) 355-2185
Mailing address
10122 E 10TH ST, SUITE 220, INDIANAPOLIS, IN 46229-2664
(317) 355-2200
(317) 355-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281250A
—
IN
Enumeration date
08/14/2006
Last updated
11/25/2009
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