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COMMUNITY HOSPITALS OF IN, INC

Clinical Neuropsychologist

Indianapolis, Indiana

Provider NPI: 1801978762

Organization Information:
Organization Name:  COMMUNITY HOSPITALS OF IN, INC
Organization is Subpart
Authorized Official:  THOMAS P FISCHER  CHIEF FINANCIAL OFFICER  317-3554887

Practice Location:
1500 N RITTER AVE  INDIANAPOLIS, IN 46219 US
Tel: 317-355-5837  Fax: 317-355-2205

Business Mailing Address:
PO BOX 19751 LOWER LEVEL PT ACCTS INDIANAPOLIS, IN 46219 US
Tel: 317-355-5837  Fax: 317-355-2205

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:

IssuerNumberStateType
100415610AIN05
RAILROAD MEDICARECA1777IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS IN - Page 1



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