Organization Active NPI

Community Hospitals of Indiana, Inc

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1194772467
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HOSPITALS OF INDIANA, INC
Practice address
120 W McKenzie Rd
Suite B
Greenfield, IN 46140-3084
Phone
(317) 462-2600
Fax
(317) 462-5148
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Mr. Thomas P Fischer
Title
Cfo
Phone
(317) 355-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

120 W McKenzie Rd
Suite B
Greenfield, IN 46140-3084

Mailing address

120 W McKenzie Rd
Suite B
Greenfield, IN 46140-3084
Phone (317) 462-2600

Other identifiers 2

IdentifierTypeStateIssuer
200325490EMedicaidIN
DA8005OtherINRR MEDICARE

Other names 1

  • Robert E. Clements, MD Doing business as

National Provider Directory

National Provider Directory

Locations

120 W McKenzie Rd
Ste B
Greenfield, IN 46140
Phone (317) 462-2600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1194772467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MCKENZIE RD",
            "address_2": "SUITE B",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403084",
            "telephone_number": "317-462-2600",
            "fax_number": "317-462-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MCKENZIE RD",
            "address_2": "SUITE B",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403084",
            "telephone_number": "317-462-2600",
            "fax_number": "317-462-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-4887",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "200325490E",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA8005",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. Clements, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.