Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Fox Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
1095 BROAD RIPPLE AVE, SUITE A, INDIANAPOLIS, IN 46220-2034
(317) 621-3680
(317) 621-3689
Mailing address
1095 BROAD RIPPLE AVE, SUITE A, INDIANAPOLIS, IN 46220-2034
(317) 621-3680
(317) 621-3689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200377090A
—
IN
Enumeration date
05/18/2006
Last updated
12/01/2009
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