NPIMap

Organization Active NPI

Community Hospital of Indiana Inc

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1194753103
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMMUNITY HOSPITAL OF INDIANA INC
Practice address
7165 Clearvista Way
Psych Pavilion
Indianapolis, IN 46256-1695
Phone
(317) 355-5837
Fax
(317) 355-2205
NPI assigned
Jun 29, 2006
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITALS OF IN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas P Fischer, JCPA
Title
Chief Financial Officer
Phone
(317) 355-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

7165 Clearvista Way
Psych Pavilion
Indianapolis, IN 46256-1695

Mailing address

PO Box 19751
Patient Accounts Lower Level
Indianapolis, IN 46219-0751
Phone (317) 355-5837

Other identifiers 3

IdentifierTypeStateIssuer
CF9322OtherINRAILROAD MEDICARE
202981-000OtherINMAGELLAN
200042460AMedicaidIN

Other names 1

  • Gallahue Psych Associates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000554 IN Part B Supplier - Clinic/Group Practice 1850203977 Receives reassigned benefits from 282 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Indianapolis, IN; Greenfield, IN; Kokomo, IN; Shelbyville, IN; Greenwood, IN; Anderson, IN

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Medcheck Greenwod37 organizations share this tax ID, including this one
Part of
Medcheck Greenwod

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

8920 Southpointe Dr
Ste C1
Indianapolis, IN 46227
Phone (317) 881-5699

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1194753103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19751",
            "address_2": "PATIENT ACCOUNTS LOWER LEVEL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462190751",
            "telephone_number": "317-355-5837",
            "fax_number": "317-355-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 CLEARVISTA WAY",
            "address_2": "PSYCH PAVILION",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561695",
            "telephone_number": "317-355-5837",
            "fax_number": "317-355-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF INDIANA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITALS OF IN INC",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-355-4887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JCPA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF9322",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "202981-000",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042460A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallahue Psych Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.