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COMMUNITY HOSPITALS OF INDIANA INC NPI 1922178516


NPI Information

NPI: 1922178516
Provider Name: COMMUNITY HOSPITALS OF INDIANA INC

Doing Business As: SHADELAND FAMILY CARE CENTER

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 15D1067408

Address:
2040 N SHADELAND AVE
SUITE 300
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-2122
Get Directions

COMMUNITY HOSPITALS OF INDIANA INC is a pediatrics in Indianapolis, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COMMUNITY HOSPITALS OF INDIANA INC NPI is 1922178516. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shadeland Family Care Center.

The provider's business location address is:

2040 N SHADELAND AVE
SUITE 300
INDIANAPOLIS, IN
ZIP 46219-711
Phone: (317) 355-2122
Fax: (317) 355-6042

The provider's authorized official is Jeffery Kirkham .
The authorized official title is Cfo and has the following contact phone number (317) 355-4887.

The CLIA number assigned to this NPI record is 15D1067408 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/9/2006 and was last updated on 2/2/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000107139OTHERINDIANAANTHEM
2000000226100OTHERINDIANAANTHEM
37984442OTHERINDIANAAETNA
4823720MEDICARE PININDIANA
5100236570BMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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