COMMUNITY HOSPITAL OF IN, INC (NPI# 1902067440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902067440 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HOSPITAL OF IN, INC |
| Other Organization Name | GALLAHUE MENTAL HEALTH SERVICES |
| Practice Address |
6626 E 75th Street Ste 500 Indianapolis IN 46250-2890 |
| Mailing Address |
6626 E 75th Street Ste 500 Indianapolis IN 46250 |
| Practice Telephone | 3176217561 |
| Practice Fax Number | 3173556096 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | ANTHONY JAVORKA (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3176211591 |
| Authorized Official Credential | COO |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HOSPITAL OF IN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
416 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270530B | 05 |
| Other Name | Type Code |
|---|---|
| Gallahue Mental Health Services | Other Name - Individual/Organization |
| Street Address |
6626 E 75TH STREET STE 500 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386801835 | Rita L Wright White | Social Worker | 6626 E 75th Street, Ste 500, Indianapolis, IN 46250-2890 | 2008-05-21 |
| 1558730762 | Melissa Pitcher | Social Worker | 6626 E 75th Street, Ste 500, Indianapolis, IN 46250-2890 | 2015-09-17 |
| 1255634457 | Salihah Nadae Talifarro | Social Worker | 6626 E 75th Street, Ste 500, Indianapolis, IN 46256-2890 | 2010-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093676 | Life Skills Unlimited LLC | Clinic/Center | 6433 E Washington St Ste 185, Indianapolis, IN 46219-6624 | 2020-11-06 |
| 1255943346 | Reality Counseling LLC | Clinic/Center | 5610 Crawfordsville Rd Ste 605, Indianapolis, IN 46224-3715 | 2020-08-19 |
| 1396385886 | Urban Act Academy | Clinic/Center | 1250 E Market St, Indianapolis, IN 46202-3831 | 2020-01-13 |
| 1972169506 | Growth2daycom LLC | Clinic/Center | 941 E 86th St # St120, Indianapolis, IN 46240-1861 | 2019-05-20 |
| 1437714169 | Moving Forward Counseling, LLC | Clinic/Center | 120 E Market St Ste 721, Indianapolis, IN 46204-3237 | 2019-05-08 |
| 1144789496 | Enlightenment & Wellness LLC | Clinic/Center | 910 N Shadeland Ave Ste 11, Indianapolis, IN 46219-4810 | 2019-03-17 |
| 1932663507 | Priorityone Health Center LLC | Clinic/Center | 8820 East 33rd Street, Indianapolis, IN 46226-6501 | 2019-01-28 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1073042396 | Amanda Rinehart | Clinic/Center | 8305 Christiana Ln, Indianapolis, IN 46256-3415 | 2017-06-08 |
| 1063782803 | Teague Psychological Services, Inc. | Clinic/Center | 6470 N. Shadeland, Suite C, Indianapolis, IN 46220 | 2012-01-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on COMMUNITY HOSPITAL OF IN, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.