Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Community Pediatric Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
7150 CLEARVISTA DRIVE, CHN PEDIATRIC UNIT, INDIANAPOLIS, IN 46256-1695
(317) 621-9536
(317) 621-9535
Mailing address
7150 CLEARVISTA DRIVE, CHN PEDIATRIC UNIT, INDIANAPOLIS, IN 46256-1695
(317) 621-9536
(317) 621-9535
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523590
ANTHEM
IN
05
—
200862130A
—
IN
01
—
9620052
AETNA
IN
Enumeration date
06/12/2007
Last updated
04/25/2008
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