Community Health Network
Family Medicine in Bloomington, IN. Organization (NPI-2).
NPI number1306147236
StatusActive
Last updated in NPPESNov 9, 2010
Details
- NPI
- 1306147236
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Network
- Organization subpart
- No
- Enumeration date
- Nov 9, 2010
- Last updated
- Nov 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10-0050681 | IN | Yes |
Other names
- Monroe Co. School Corporation (Other Name)
Practice location
524 N Fairview StBloomington, IN 47404-3774
Phone 812-330-7837
Mailing address
524 N. Fairview StBloomington, IN 47404-0000
Phone 812-330-7837
Authorized official
Jeffery Kirkham
Cfo
3173555822
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