Healthcare Provider Details

I. General information

NPI: 1336119478
Provider Name (Legal Business Name): COMMUNITY HEALTH NETWORK, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N RITTER AVE
INDIANAPOLIS IN
46219-3027
US

IV. Provider business mailing address

6233 RELIABLE PKWY
CHICAGO IL
60686-0062
US

V. Phone/Fax

Practice location:
  • Phone: 317-355-1411
  • Fax:
Mailing address:
  • Phone: 317-355-1411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number005068
License Number StateIN

VIII. Authorized Official

Name: HOLLY MILLARD
Title or Position: SVP FINANCE
Credential:
Phone: 317-355-5860