MEDICARE: COMMUNITY HOSPITALS OF INDIANA

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1477577906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HOSPITALS OF INDIANA

Provider Business Mailing Address
First Line	:	10122 E 10TH ST
Second Line	:	SUITE 240
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2663
Country	:	US
Telephone Number	:	317-355-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	10122 E 10TH ST
Second Line	:	SUITE 240
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-2663
Country	:	US
Telephone Number	:	317-355-7337
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	THOMAS FISCHER
Credential	:
Telephone Number	:	317-355-4887

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/15/2007

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Directions to “COMMUNITY HOSPITALS OF INDIANA ” Practice Location

Language	Start Address	Practice Location

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