NPI 1306147236

Community Health Network

Organisation Family Medicine Physician Bloomington, IN

Practice location

Address: 524 N Fairview St, Bloomington, IN 47404-3774
Phone: (812) 330-7837
Mailing address: 524 N. Fairview St, Bloomington, IN 47404-0000

Authorised official

Name: Jeffery Kirkham
Title: Cfo
Phone: (317) 355-5822

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 10-0050681 (IN)

Other Family Medicine providers in Indiana →

Registry record

NPI: 1306147236
Entity type: Organization
NPI issued: 9 Nov 2010
Record last updated: 9 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.