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General NPI Number Information
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NPI Number | 1235109778
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPITAL SOUTH, INC.
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 1402 E COUNTY LINE ROAD S
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-9611
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Country | US
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Telephone | 317-887-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 6233 RELIABLE PKWY
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City | CHICAGO
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State | IL
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Zip | 60686-0062
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Country | US
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Telephone | 317-355-1411
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Fax | 317-351-7862
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Authorized Official
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Title or Position | SVP FINANCE
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Name | MRS. HOLLY MILLARD
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Credential |
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Telephone | 317-355-5860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 005109
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License Number State | IN
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