Healthcare Provider Details

I. General information

NPI: 1093735276
Provider Name (Legal Business Name): COMMUNITY HOSPITALS OF INDIANA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 N MERIDIAN ST SUITE 110
CARMEL IN
46032-6919
US

IV. Provider business mailing address

11911 N MERIDIAN ST SUITE 110
CARMEL IN
46032-6919
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-1151
  • Fax: 317-621-1179
Mailing address:
  • Phone: 317-621-1151
  • Fax: 317-621-1179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JEFFERY KIRKHAM
Title or Position: CFO
Credential:
Phone: 317-355-5822