Active NPI
Community Hospitals of Indiana Inc
- Family Medicine Physician
- New Palestine, IN
National Provider Identifier
1891824447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY HOSPITALS OF INDIANA INC
- Practice address
- 4037 South Arbor Lane
Suite D
New Palestine, IN 46163-8644 - Phone
- (317) 355-9355
- Fax
- (317) 355-9350
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery Kirkham
- Title
- Cfo
- Phone
- (317) 355-5822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4037 South Arbor Lane
Suite D
New Palestine, IN 46163-8644
Mailing address
4037 South Arbor Lane
Suite D
New Palestine, IN 46163-8644
Phone (317) 355-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200864070A | Medicaid | IN |
Other names 1
- Arbor Lane Family Practice
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1891729463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245888000000",
"number": "1891824447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 SOUTH ARBOR LANE",
"address_2": "SUITE D",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461638644",
"telephone_number": "317-355-9355",
"fax_number": "317-355-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4037 SOUTH ARBOR LANE",
"address_2": "SUITE D",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461638644",
"telephone_number": "317-355-9355",
"fax_number": "317-355-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2009-06-25",
"status": "A",
"authorized_official_last_name": "KIRKHAM",
"authorized_official_first_name": "JEFFERY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "317-355-5822"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200864070A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arbor Lane Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Palestine, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.