Organization
CREEKSIDE OBGYN PC
Active
Parent organization
WITHAM MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WITHAM MEMORIAL HOSPITAL
Authorized official
SANDRA L ANDERSON (OFFICE MANAGER)
(765) 483-7361
Entity
Organization
Contact information
Practice address
2505 N LEBANON ST, STE 208, LEBANON, IN 46052-8612
(765) 485-8444
(765) 483-7365
Mailing address
2505 N LEBANON ST, STE 208, LEBANON, IN 46052-8612
(765) 485-8444
(765) 483-7365
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50004241A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200293550
—
IN
Enumeration date
09/13/2005
Last updated
11/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us