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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
1207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DA8370OTHERINRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891748851
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HOSPITALS OF INDIANA INC
Provider Business Mailing Address
First Line : 2040 N SHADELAND AVE
Second Line : SUITE 310
City : INDIANAPOLIS
State : IN
Zip : 46219-1734
Country : US
Telephone Number : 317-355-2700
Fax Number : 317-355-2929
Provider Business Practice Location Address
First Line : 2040 N SHADELAND AVE
Second Line : SUITE 310
City : INDIANAPOLIS
State : IN
Zip : 46219-1734
Country : US
Telephone Number : 317-355-2700
Fax Number : 317-355-2929
Authorized Official
Title or Position : CFO
Name : JEFFERY KIRKHAM
Credential :
Telephone Number : 317-355-5822
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/04/2010

Similar Medicare Providers

1437142502 — GREGORY C LORENZ LCSW
Practice Location Address:
2040 N SHADELAND , SUITE 200
INDIANAPOLIS, IN
46219-1734
Practice Phone: 317-355-1800
Practice Fax: 317-355-1803
1821060294 — MICHAEL WELLING MD
Practice Location Address:
2040 SHADELAND AVE , STE 200
INDIANAPOLIS, IN
46219-1734
Practice Phone: 317-355-1800
Practice Fax: 317-355-1803
1639142649 — JENNIFER KRISTINE DAY CNS
Practice Location Address:
2040 NORTH SHADELAND AVENUE , SUITE 200
INDIANAPOLIS, IN
46219-1734
Practice Phone: 317-355-1800
Practice Fax: 317-355-1803
1659315331 — KAREN L GIVAN LMHC
Practice Location Address:
2040 SHADELAND AVE , STE 200
INDIANAPOLIS, IN
46219-1734
Practice Phone: 317-355-1800
Practice Fax: 317-355-1803
1568566586 — SUSANNE C. BAUGHMAN LCSW
Practice Location Address:
2040 N SHADELAND AVE
INDIANAPOLIS, IN
46219-1734
Practice Phone: 317-355-1800
Practice Fax: 317-355-1803
1871662619 — LAURA JEAN WELCH LMHC
Practice Location Address:
2040 NORTH SHADELAND AVENUE , SUITE 200
INDIANAPOLIS, IN
46219-1734
Practice Phone: 317-355-1800
Practice Fax: 317-355-1803

Directions to “COMMUNITY HOSPITALS OF INDIANA INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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