Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Diabetes & Endocrinology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
8435 CLEARVISTA PLACE, SUITE 101, INDIANAPOLIS, IN 46256-3761
(317) 621-1006
(317) 621-1011
Mailing address
8435 CLEARVISTA PLACE, SUITE 101, INDIANAPOLIS, IN 46256-3761
(317) 621-1006
(317) 621-1011
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200326750A
—
IN
01
—
DB2450
RR MEDICARE
IN
Enumeration date
07/13/2006
Last updated
11/02/2009
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