Broadway Family Medicine

LBN: Community Hospitals Of Indiana Inc
Broadway Family Medicine is an health care organization with primary practice located at 3113 Broadway St , Anderson IN 46012-1261. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Community Hospitals Of Indiana Inc can be contacted via phone (765) 640-9252, or through Kirkham, Jeffery via phone (317) 355-5822.

Contact Information

Primary practice address
3113 Broadway St Anderson IN 46012-1261
Phone: (765) 640-9252
Fax: (765) 640-9439
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

Profile Details

NPI number 1518114032
LBN Legal business name Community Hospitals Of Indiana Inc
DBA Doing business as Broadway Family Medicine
Authorized official Kirkham, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2008
Last updated Nov 2nd, 2009 - about 15 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 1518114032 NPPES
Indiana MEDICAID 200239920B

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