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1336119478

NPI Code Detail

MEDICARE: COMMUNITY HEALTH NETWORK, INC

MEDICARE: COMMUNITY HEALTH NETWORK, 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	282N00000X	General Acute Care Hospital	005068	IN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000001502	OTHER		MPLAN PROVIDER NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	8361750	OTHER		PROHEALTH PROVIDER NUMBER
7	6260365	OTHER		EAST AETNA PROV NUMBER
8	000000075267	OTHER		NORTH ANTHEM PROV NUMBER
9	6260800	OTHER		NORTH AETNA PROV. NUMBER
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336119478
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH NETWORK, INC

Provider Business Mailing Address
First Line	:	6233 RELIABLE PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60686-0062
Country	:	US
Telephone Number	:	317-355-1411
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N RITTER AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3027
Country	:	US
Telephone Number	:	317-355-1411
Fax Number	:

Authorized Official
Title or Position	:	SVP FINANCE
Name	:	HOLLY MILLARD
Credential	:
Telephone Number	:	317-355-5860

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/23/2022

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Directions to “COMMUNITY HEALTH NETWORK, INC ” Practice Location

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