Community Hospitals of Indiana Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY HOSPITALS OF INDIANA INC

Doing business as

County Line Medical Pavilion

Practice address

333 E County Line Rd
Suite B
Greenwood, IN 46143-1046

Phone

(317) 497-6333

Fax

(317) 497-6334

NPI assigned

Jul 18, 2006

Last updated

Mar 29, 2010By the provider in NPPES

Organization subpart

No

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 3

Addresses

Other identifiers 1

Other names 1

• County Line Medical Pavilion Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Community Hospitals of in, Inc

  • Clinical Neuropsychologist
  • Indianapolis, IN
  • NPI 1801978762

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1073531976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E COUNTY LINE RD",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431046",
            "telephone_number": "317-497-6333",
            "fax_number": "317-497-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E COUNTY LINE RD",
            "address_2": "SUITE B",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431046",
            "telephone_number": "317-497-6333",
            "fax_number": "317-497-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-03-29",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200325490B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Line Medical Pavilion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Birth Group
• Community Health Network (Center Grove Wellness Center)
• Community Health Network Inc
• Community Health Network Rehabilitation Hospital South, LLC (Community Health Network Rehabilitation Hospital South)
• Community Hospitals of Indiana (Stacia Sorrell, MD)
• Community Hospitals of Indiana Inc (Community Center for Womens Health)
• Community Hospitals of Indiana Inc (Southside Adult Medicine)
• Community Hospitals of Indiana Inc (Greenwood Medical Associates)
• Community Hospitals of Indiana Inc (Marnie Widdifield MD)
• Community Hospitals of Indiana Inc (John Miller MD)

• Family Medicine Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.