Community Health Network, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

005068 Issued in IN

Legal business name

COMMUNITY HEALTH NETWORK, INC.

Practice address

7165 Clearvista Way
Suite D2
Indianapolis, IN 46256-4621

Phone

(317) 355-4111

NPI assigned

Feb 2, 2006

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

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 92)

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 391

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

• Subrie Ahmed Abedallhadi, M.D.

  • Interventional Cardiology Physician
  • Anderson, IN
  • NPI 1710905666
  NPD (past)
• Ravindrakumar Alagugurusamy, M.D.

  • Family Medicine Physician
  • Anderson, IN
  • NPI 1164884565
  NPD (past)
• Fadia T Aldahan, MD

  • Child & Adolescent Psychiatry Physician
  • Indianapolis, IN
  • NPI 1184616294
  NPD (past)
• Kimberly Allison, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1942848320
  NPD (past)
• Dennis L Anderson, MD

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1720030281
  NPD (past)
• Tomeika Rashel Anderson, D.O.

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1932465499
  NPD (past)
• Tammy Anthony, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1518411990
  NPD (past)
• Gary Antlept, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1073174413
  NPD (past)
• Dmitry Michael Arbuck, M.D

  • Specialist
  • Indianapolis, IN
  • NPI 1700872033
  NPD (past)
• Enrique Alfredo Argote, MD

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1740471564
  NPD (past)
• Nancy Sue Arick, LCSW

  • Clinical Social Worker
  • Anderson, IN
  • NPI 1366591349
  NPD (past)
• Sarah Ash, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1871177428
  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": "PROHEALTH PROVIDER NUMBER",
            "identifier": "8361750",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385760B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000075267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN PROVIDER NUMBER",
            "identifier": "000000001502",
            "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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• All providers in Indianapolis, IN
• 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.