Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Goens Petrin Wesley
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
11911 N MERIDIAN ST, SUITE 100, CARMEL, IN 46032-6919
(317) 621-6800
(317) 621-6808
Mailing address
11911 N MERIDIAN ST, SUITE 100, CARMEL, IN 46032-6919
(317) 621-6800
(317) 621-6808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325490Q
—
IN
01
—
DA9968
RR MEDICARE
IN
Enumeration date
07/21/2006
Last updated
11/09/2009
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