Healthcare Provider Details

I. General information

NPI: 1548232838
Provider Name (Legal Business Name): COMMUNITY HEALTH NETWORK, INC..
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N RITTER AVE SUITE 3-3
INDIANAPOLIS IN
46219-3027
US

IV. Provider business mailing address

6233 RELIABLE PKWY
CHICAGO IL
60686-0062
US

V. Phone/Fax

Practice location:
  • Phone: 317-355-4111
  • Fax:
Mailing address:
  • Phone: 317-355-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number005068
License Number StateIN

VIII. Authorized Official

Name: MR. THOMAS P. FISCHER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 317-355-4887