Organization
COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MILLARD (FINANCE)
(317) 355-5860
Entity
Organization
Contact information
Practice address
1515 N MADISON AVE, ANDERSON, IN 46011-3453
(765) 298-3300
(765) 298-5800
Mailing address
6233 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(765) 298-3300
(765) 298-5800
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097753
ANTHEM
IN
01
—
0745740001
MEDICARE PART B DME
IN
05
—
100102820A
—
IN
05
—
100269520A
—
IN
05
—
200073560A
—
IN
05
—
200817400A
—
IN
Enumeration date
06/30/2005
Last updated
10/20/2022
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