Provider Demographics
NPI:1205238771
Name:COMMUNITY HEALTH NETWORK
Entity type:Organization
Organization Name:COMMUNITY HEALTH NETWORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY EMPLOYER HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZETZL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:317-621-7598
Mailing Address - Street 1:1500 NORTH RITTER AVENUE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219
Mailing Address - Country:US
Mailing Address - Phone:317-497-6169
Mailing Address - Fax:317-806-1692
Practice Address - Street 1:HSE HEALTH CARE CENTER - MEDCHECK SUITE
Practice Address - Street 2:9669 E 146TH ST
Practice Address - City:NOBLES VILLE
Practice Address - State:IN
Practice Address - Zip Code:46060
Practice Address - Country:US
Practice Address - Phone:317-621-2462
Practice Address - Fax:317-806-1692
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METHODIST OCCUPATIONAL HEALTH CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-16
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty