NPIMap

Organization Active NPI

Community Hospitals of Indiana, Inc

Doing business as City of Anderson On-site Clinic

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1851643092
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HOSPITALS OF INDIANA, INC
Doing business as
City of Anderson On-site Clinic
Practice address
739 Gene Gustin Way
Anderson, IN 46011-1993
Phone
(765) 298-3620
Fax
(765) 298-3621
NPI assigned
Oct 12, 2012
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Ramarao YeletiNPI 1568461895
Title
Evp
Phone
(317) 887-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

739 Gene Gustin Way
Anderson, IN 46011-1993

Mailing address

1500 N Ritter Ave
Indianapolis, IN 46219-3027

Other names 1

  • City of Anderson On-site Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Physician Diagnostic37 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

Locations

4610 S Madison Ave
Ste Q106
Anderson, IN 46013

739 Gene Gustin Way
Anderson, IN 46011
Phone (765) 298-3620

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1851643092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N RITTER AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 GENE GUSTIN WAY",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111993",
            "telephone_number": "765-298-3620",
            "fax_number": "765-298-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "YELETI",
        "authorized_official_first_name": "RAMARAO",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "317-887-7880"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Anderson On-site Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.