Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Brillhart OB GYN
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
8040 CLEARVISTA PKWY, SUITE 520, INDIANAPOLIS, IN 46256-5604
(317) 621-2400
(317) 621-5266
Mailing address
8040 CLEARVISTA PKWY, SUITE 520, INDIANAPOLIS, IN 46256-5604
(317) 621-2400
(317) 621-5266
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200485910A
—
IN
01
—
DD6565
MEDICARE RAILROAD
IN
Enumeration date
05/19/2006
Last updated
03/15/2010
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