NPIMap

Organization Active NPI

Community Hospital South, Inc.

Doing business as Community Hospital South

  • General Acute Care Hospital
  • Indianapolis, IN
National Provider Identifier
1235109778
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
005109 Issued in IN
Legal business name
COMMUNITY HOSPITAL SOUTH, INC.
Doing business as
Community Hospital South
Practice address
1402 E County Line Road S
Indianapolis, IN 46227-9611
Phone
(317) 887-7000
NPI assigned
Jan 26, 2006
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Mrs. Holly Millard
Title
SVP Finance
Phone
(317) 355-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 005109 IN Primary

Addresses

Primary practice location

1402 E County Line Road S
Indianapolis, IN 46227-9611

Mailing address

6233 Reliable Pkwy
Chicago, IL 60686-0062
Phone (317) 355-1411

Other identifiers 1

IdentifierTypeStateIssuer
100270500AMedicaidIN

Other names 1

  • Community Hospital South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000770 IN Part A Provider - Hospital 7618160193 Practice locations: Indianapolis, IN; Greenwood, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235109778. Details of each certification follow.

Hospital certification: CCN 150128

Legal name
COMMUNITY HOSPITAL SOUTH, INC.
Doing business as
COMMUNITY HOSPITAL SOUTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1975
Last certification
Jan 29, 2002
Beds
127
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 13, 1963 in IN
Enrollment address
1402 E County Line Rd
Indianapolis, IN 46227-0963
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Community Hospital South, Inc.CCN 150128 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0665283Community Hospital South1402 E County Line Rd, Indianapolis, IN 46227AccreditationFeb 27, 2027
15D0931981Community Hospital South1402 E County Line Rd S/Attn Dr David Kiley, Indianapolis, IN 46227AccreditationMay 12, 2027
15D1052100Community Hospital South Ameripath Indiana Frozen1402 E County Line Rd S, Indianapolis, IN 46227AccreditationJun 21, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

225 S Emerson Ave
Ste 100
Greenwood, IN 46143
Phone (317) 887-7165

333 E County Line Rd
Ste 100
Greenwood, IN 46143
Phone (314) 497-6300

333 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 887-7000

98 S Park Blvd
Greenwood, IN 46143
Phone (317) 887-7165

1402 E County Line Rd
Ste 2200
Indianapolis, IN 46227
Phone (314) 887-7880

1643 E Hanna Ave
Ste 107
Indianapolis, IN 46227
Phone (317) 497-2600

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rafael a Sanchez Individual Corporate OfficerBoard Chair Jan 1, 2026
Corporate DirectorBoard Director Jan 1, 2022
Courtney Roberts Individual Corporate DirectorBoard Director Jan 1, 2026
Community Health Network Inc Organization, Indianapolis, IN Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 1974 100%
Marina Waters Individual Corporate DirectorBoard Director Jan 1, 2026
Charles S Vore Individual Corporate DirectorBoard Director Dec 14, 2016
James Foster Individual Corporate OfficerAssistant Secretary Jan 1, 2026
Bruce King Individual Corporate DirectorBoard Director Apr 1, 2014
Elizabeth Tharp Individual W-2 Managing EmployeePresident Feb 10, 2022
Operational/Managerial ControlPresident Feb 10, 2022
Patrick M McGill Individual Corporate OfficerPresident and Ceo Jan 1, 2026
Corporate DirectorPresident and Ceo Jan 1, 2026
W-2 Managing EmployeeAd; Jan 1, 2026
Operational/Managerial ControlPresident and Ceo Jan 1, 2026
Charles Michael Platz Individual Corporate DirectorDirector Jan 1, 2019
Kristin T Sherman Individual Corporate Director Oct 1, 2009
Annette M Moore Individual Corporate DirectorBoard Director Dec 14, 2016
Holly Millard Individual Corporate OfficerCfo May 4, 2018
Corporate DirectorAssistant Treasurer Jun 16, 2025
Operational/Managerial ControlCfo May 4, 2018
Brian K Williams Individual Corporate Director Apr 1, 2014
Gary Aletto Individual Corporate DirectorDirector Jan 1, 2019
Rodney D Cotton Individual Corporate DirectorBoard Director Jan 1, 2022
Jason E Becker Individual Corporate OfficerTreasurer Jan 1, 2026
Corporate DirectorBoard Director Dec 14, 2016

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 624

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 624

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1235109778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860062",
            "telephone_number": "317-355-1411",
            "fax_number": "317-351-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 E COUNTY LINE ROAD S",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462279611",
            "telephone_number": "317-887-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "SVP FINANCE",
        "authorized_official_telephone_number": "317-355-5860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "005109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270500A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospital South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Hospital South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.