County Line Medical Pavilion

LBN: Community Hospitals Of Indiana Inc
County Line Medical Pavilion is an health care organization with primary practice located at 333 E County Line Rd Suite B, Greenwood IN 46143-1046. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Community Hospitals Of Indiana Inc can be contacted via phone (317) 497-6333, or through Kirkham, Jeffery via phone (317) 355-5822.

Contact Information

Primary practice address
333 E County Line Rd Suite B Greenwood IN 46143-1046
Phone: (317) 497-6333
Fax: (317) 497-6334
Website:
Map and Directions
Authorized official contact:
Name: Kirkham, Jeffery
Phone: (317) 355-5822

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1073531976
LBN Legal business name Community Hospitals Of Indiana Inc
DBA Doing business as County Line Medical Pavilion
Authorized official Kirkham, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073531976 NPPES
Indiana MEDICAID 200325490B

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