MEDICARE: COMMUNITY HOSPITALS OF INDIANA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326156068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPITALS OF INDIANA INC

Provider Business Mailing Address
First Line	:	7120 CLEARVISTA DRIVE
Second Line	:	SUITE 5900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1714
Country	:	US
Telephone Number	:	317-621-9210
Fax Number	:

Provider Business Practice Location Address
First Line	:	7120 CLEARVISTA DRIVE
Second Line	:	SUITE 5900
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-1714
Country	:	US
Telephone Number	:	317-621-9210
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JEFFERY KIRKHAM
Credential	:
Telephone Number	:	317-355-4887

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	02/11/2010

Similar Medicare Providers

1578552733 — MRS. RENEE SCOTT JONES M.S.
Practice Location Address:

7120 CLEARVISTA DRIVE , SUITE 5900
INDIANAPOLIS, IN
46256-1714

Practice Phone: 317-621-9210
Practice Fax: 317-621-9211

1871574574 — ANTHONY LATHROP CNM
Practice Location Address:

7120 CLEARVISTA DR STE 5900
INDIANAPOLIS, IN
46256-1714

Practice Phone: 317-621-1338
Practice Fax: 317-621-9211

1902884646 — MISS KELLY AKIN SAMSON M.S., C.G.C.
Practice Location Address:

7120 CLEARVISTA DR STE 5900
INDIANAPOLIS, IN
46256-1714

Practice Phone: 317-621-9210
Practice Fax:

1457616617 — KAYLEE ERIN HENSON MS
Practice Location Address:

7120 CLEARVISTA DRIVE , SUITE 5900
INDIANAPOLIS, IN
46256-1714

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Practice Fax:

1760910699 — JENNIFER JANE MOORE GC
Practice Location Address:

7120 CLEARVISTA DR STE 5900
INDIANAPOLIS, IN
46256-1714

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Practice Fax:

1215893326 — ALEXUS JOHNSON PHARMD
Practice Location Address:

8330 CRAWFORDSVILLE RD
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46234-1714

Practice Phone: 317-347-4411
Practice Fax:

Directions to “COMMUNITY HOSPITALS OF INDIANA INC ” Practice Location

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