FALL CREEK FAMILY MEDICINE - NPI 1679598171 - Family Medicine in Indianapolis, IN

Q: What is Community Hospitals Of Indiana Inc's NPI number?

The NPI number for Community Hospitals Of Indiana Inc is 1679598171. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Fall Creek Family Medicine.

Q: What is Community Hospitals Of Indiana Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Fall Creek Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FALL CREEK FAMILY MEDICINE (NPI 1679598171) is a healthcare organization registered as a family medicine in Indianapolis, Indiana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Jeffery Kirkham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679598171

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOMMUNITY HOSPITALS OF INDIANA INC

Location Address9560 E 59TH STIndianapolis, IN 46216-1010

Mailing Address9560 E 59th StIndianapolis, IN 46216-1010 · (317) 621-1700 · Fax (317) 621-1711

Phone(317) 621-1700

Fax(317) 621-1711

Organization SubpartNo

Authorized OfficialJeffery KirkhamCfo · (317) 355-5822

Enumeration DateJuly 13, 2006

Last NPPES UpdateSeptember 16, 2009

✔ NPI 1679598171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9560 E 59TH ST, Indianapolis, IN 46216

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Other Names 1

Doing Business AsFall Creek Family Medicine

Other Identifiers 3

Medicare PINDC3410IN

Medicare PIN221470IN

Medicaid200869330IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0699183

Fall Creek Family Medicine · Indianapolis, IN

Active · expires Mar 24, 2028

CLIA Number15D0699183

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2026

Certificate Expiration DateMarch 24, 2028

Laboratory DirectorRobert K. Newton

Laboratory Phone(317) 621-1700

Laboratory LocationFall Creek Family Medicine9560 E 59th St, Indianapolis, IN 46216

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT KIESS NEWTON MD

Family Medicine