Active NPI
Community Hospitals of Indiana Inc
- Family Medicine Physician
- Noblesville, IN
National Provider Identifier
1023145992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY HOSPITALS OF INDIANA INC
- Practice address
- 9669 E 146TH St
Suite 250
Noblesville, IN 46060-5004 - Phone
- (317) 621-9926
- Fax
- (317) 621-9676
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery Kirkham
- Title
- Cfo
- Phone
- (317) 355-5822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9669 E 146TH St
Suite 250
Noblesville, IN 46060-5004
Mailing address
9669 E 146TH St
Suite 250
Noblesville, IN 46060-5004
Phone (317) 621-9926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200864300A | Medicaid | IN |
Other names 1
- Community Physicians of Noblesville
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0998504 | Community Physicians of in -OBGYN Care Noblesville | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
13050 Parkside Dr
Ste 260
Fishers, IN 46038
Phone (317) 621-9652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259280000000",
"number": "1023145992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9669 E 146TH ST",
"address_2": "SUITE 250",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460605004",
"telephone_number": "317-621-9926",
"fax_number": "317-621-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9669 E 146TH ST",
"address_2": "SUITE 250",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460605004",
"telephone_number": "317-621-9926",
"fax_number": "317-621-9676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2009-11-27",
"status": "A",
"authorized_official_last_name": "KIRKHAM",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "317-355-5822"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200864300A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Physicians of Noblesville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Noblesville, IN
- Austin Scott Combs, PA-C
- Comfort Companions LLC
- Comfort Medical Supply LLC
- Community Health Network
- Community Health Network Inc
- Community Hospitals of Indiana Inc
- Community Hospitals of Indiana Inc
- Community Hospitals of Indiana Inc
- Community Hospitals of Indiana, Inc
- Community Physicians of Indiana Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.