Community Health Network, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

005068 Issued in IN

Legal business name

COMMUNITY HEALTH NETWORK, INC.

Doing business as

Community Hospital North

Practice address

7165 Clearvista Way
Suite D2
Indianapolis, IN 46256-4621

Phone

(317) 355-4111

NPI assigned

Feb 2, 2006

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas P Fischer

Title

Chief Financial Officer

Phone

(317) 355-4887

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Community Hospital North Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679545966. Details of each certification follow.

• CCN 15S169 Hospital · Details

Hospital certification: CCN 15S169

Legal name

COMMUNITY HEALTH NETWORK, INC.

Doing business as

COMMUNITY HOSPITAL NORTH

Organization structure

CorporationNon-profit

Incorporated

May 22, 1952 in IN

Enrollment address

7165 Clearvista Way
Indianapolis, IN 46256-4621
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854

  6800978198

  Same PAC ID

Tax ID family

Community Health Network Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854
  NPD tax ID

Locations (25 of 77)

All disclosed owners & managing parties 21

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

Owners & managing parties with NPI records 3

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

• Community Health Network, Inc

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1619163854

  Operational/Managerial Control

  CMS ownership
• Annette M Moore, MD

  • Hematology & Oncology Physician
  • Kokomo, IN
  • NPI 1609818467

  Corporate Director

  CMS ownership
• Charles M Platz, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1790758589

  Corporate Director

  CMS ownership

Practitioners 979

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.

• Jennifer Aaron

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1093567554
  NPD (past)
• Faheem A. Abbasi, MD

  • Pulmonary Disease Physician
  • Indianapolis, IN
  • NPI 1043486343
  NPD (past)
• Subrie Ahmed Abedallhadi, M.D.

  • Interventional Cardiology Physician
  • Anderson, IN
  • NPI 1710905666
  NPD (past)
• Mohammad Issam Abu Zaid, M.D.

  • Hematology & Oncology Physician
  • Kokomo, IN
  • NPI 1720392798
  NPD (past)
• Majdi M Abu-Salih, MD

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1356359905
  NPD (past)
• Anne Marie Adams, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1982688297
  NPD (past)
• Kristin M Adams, MD

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1235152968
  NPD (past)
• Rashmin Adesara, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1699975185
  NPD (past)
• Anan Bassam Afaneh, M.D.

  • Rheumatology Physician
  • Indianapolis, IN
  • NPI 1407167273
  NPD (past)
• Bothaina M Afifi, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1851041255
  NPD (past)
• Anuj K Agarwala

  • Medical Oncology Physician
  • Indianapolis, IN
  • NPI 1225236201
  NPD (past)
• Ashish Aggarwal, M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1679705008
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1679545966",
    "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": "317-355-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7165 CLEARVISTA WAY",
            "address_2": "SUITE D2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462564621",
            "telephone_number": "317-355-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-06-23",
        "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."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IN",
            "license": "005068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000075267",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385760B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN PROVIDER NUMBER",
            "identifier": "000000001502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROHEALTH PROVIDER NUMBER",
            "identifier": "8361750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AETNA PROV NUMBER",
            "identifier": "6260365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Hospital North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Hospital Unit in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric Hospital Unit in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.