Community Hospitals of Indiana Inc
Organization Active NPI Internal Medicine Physician · Mooresville, IN
NPI 1760408348 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1760408348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COMMUNITY HOSPITALS OF INDIANA INC
- Practice address
- 461 Town Center St N
Mooresville, IN 46158-2316 - Phone
- (317) 834-9858
- Fax
- (317) 834-3290
- NPI assigned
- Jul 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffery Kirkham
- Title
- Cfo
- Phone
- (317) 355-5822
Member of 1
National Provider Directory
Locations
1210 Medical Arts Blvd
Ste 204
Anderson, IN 46011
Phone (765) 298-4520
215 E High St
#7
Mooresville, IN 46158
Phone (317) 834-9858
215 E High St
Ste 7
Mooresville, IN 46158
Phone (317) 834-9858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
461 Town Center St N
Mooresville, IN 46158-2316
Mailing address
461 Town Center St N
Mooresville, IN 46158-2316
Phone (317) 834-9858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200996370A | Medicaid | IN | |
| DB5245 | Other | IN | RR MEDICARE |
Other names
- Lader Kenneth
Other providers in Mooresville, IN
- Bryan Alexander Chudnow
- City Optical Co., Inc.
- Lori Renee Clark
- Debra Neal Cohen
- Kristi Combs
- Jamie L Cooper
- Sarah Corbin-Green
- Cornerstone Home Health Care, Inc
- Erika Cottrell
- Kay Lyn Couse
All providers in Mooresville, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.