Organization Active NPI

Community Health Network, Inc

  • Community/Retail Pharmacy
  • Indianapolis, IN
National Provider Identifier
1669951471
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COMMUNITY HEALTH NETWORK, INC
Practice address
7250 Clearvista Dr Ste 140
Indianapolis, IN 46256-4640
Phone
(317) 621-3100
Fax
(317) 621-4298
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Amy C Sprouse
Title
Director of Reimbursment
Phone
(317) 355-4992

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

7250 Clearvista Dr Ste 140
Indianapolis, IN 46256-4640

Mailing address

6233 Reliable Parkway
Chicago, IL 60682-0062
Phone (317) 355-4992

Other identifiers 1

IdentifierTypeStateIssuer
3000022457MedicaidIN

Other names 2

  • Community Health Network Specialty Pharmacy Doing business as
  • Community Hospital North Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230822002372 IN Part B Supplier - Pharmacy 8527205368 Practice locations: Indianapolis, IN
O20240401001911 IN DME Supplier - Pharmacy 8527205368 Practice locations: Indianapolis, IN

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Community Health Network Inc7250 Clearvista Dr, Indianapolis, IN 46256-4640(317) 621-3100 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 25, 2023

National Provider Directory

National Provider Directory
Tax ID family
Catherine Cooper CNP37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Member organizations 32

Organizations listed as members of this organization in the National Provider Directory.

View all 32

Locations

6233 Reliable Pkwy
Chicago, IL 60682

11911 N Meridian St
Ste 150
Carmel, IN 46032
Phone (317) 621-6700

13121 Olio Rd
Ste 110
Fishers, IN 46037
Phone (317) 621-1420

7930 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 497-6024

7250 Clearvista Dr
Ste 140
Indianapolis, IN 46256
Phone (317) 621-2170

8180 Clearvista Pkwy
Ste 200
Indianapolis, IN 46256
Phone (317) 355-2560

6970 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-9292

7250 Clearvista Dr
Ste 180
Indianapolis, IN 46256
Phone (317) 594-9410

8181 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 621-3640

7120 Clearvista Dr
Ste 3100
Indianapolis, IN 46256
Phone (317) 621-2020

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Fairbanks Recovery CenterIndianapolis, IN, CCN 150179 Hospital Operational/Managerial Control Aug 13, 2020
Community Health Network Rehabilitation HospitalIndianapolis, IN, CCN 153043 Hospital 5% Or Greater Direct Ownership Interest (51%) Apr 16, 2021
Community Rehabilitation Hospital WestBrownsburg, IN, CCN 153050 Hospital 5% Or Greater Direct Ownership Interest (51%) May 16, 2023
Community Health at Home LLCIndianapolis, IN, CCN 157046 Home health agency 5% Or Greater Direct Ownership Interest (50%) Aug 12, 2019
Community HospiceFishers, IN, CCN 151554 Hospice 5% Or Greater Direct Ownership Interest Mar 31, 1998

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1669951471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606820062",
            "telephone_number": "317-355-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 CLEARVISTA DR STE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564640",
            "telephone_number": "317-621-3100",
            "fax_number": "317-621-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "SPROUSE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSMENT",
        "authorized_official_telephone_number": "317-355-4992"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000022457",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Network Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Hospital North Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.