NPIMap

Organization Active NPI

Community Hospitals of Indiana Inc

  • Specialist
  • Indianapolis, IN
National Provider Identifier
1407921794
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMMUNITY HOSPITALS OF INDIANA INC
Practice address
7150 Clearvista Dr
Family Rooms
Indianapolis, IN 46256-1695
Phone
(317) 621-5890
Fax
(317) 355-2205
NPI assigned
Nov 21, 2006
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITALS OF INDIANA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mr. Jeffery Kirkham
Title
Chief Financial Officer
Phone
(317) 355-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

7150 Clearvista Dr
Family Rooms
Indianapolis, IN 46256-1695

Mailing address

PO Box 19751
Indianapolis, IN 46219-0751
Phone (317) 355-5837

Other identifiers 3

IdentifierTypeStateIssuer
100119100BMedicaidIN
100119100CMedicaidIN
100119100AMedicaidIN

Other names 1

  • Community Group CRNA Other name

National Provider Directory

National Provider Directory
Part of
David Felkins MD

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1407921794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19751",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462190751",
            "telephone_number": "317-355-5837",
            "fax_number": "317-904-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 CLEARVISTA DR",
            "address_2": "FAMILY ROOMS",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462561695",
            "telephone_number": "317-621-5890",
            "fax_number": "317-355-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-355-5822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119100B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119100C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Group CRNA",
            "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 Jul 29, 2009; 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.