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NPI Code Detail

MEDICARE: COMMUNITY HOSPITALS OF INDIANA, INC.

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
1314000000XSkilled Nursing Facility005068-1IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000001502OTHERMPLAN PROVIDER NUMBER
2000000106937OTHERANTHEM PROVIDER NUMBER
36260365OTHERAETNA PROVIDER NUMBER
48361750OTHERPROHEALTH PROVIDER NUMBER

General Provider Information

NPI Number : 1881665313
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HOSPITALS OF INDIANA, INC.
Provider Business Mailing Address
First Line : 1500 N RITTER AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-3027
Country : US
Telephone Number : 317-355-4111
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 : 317-355-4111
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. THOMAS P. FISCHER
Credential :
Telephone Number : 317-355-4887
Provider Enumeration Date : 02/01/2006
Last Update Date : 08/22/2020

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Directions to “COMMUNITY HOSPITALS OF INDIANA, INC. ” Practice Location

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