Organization
COMMUNITY HOSPITALS OF INDIANA INC
Active
Other names
Marnie Widdifield MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY KIRKHAM (CFO)
(317) 355-5822
Entity
Organization
Contact information
Practice address
549 E COUNTY LINE ROAD, SUITE A, GREENWOOD, IN 46143-1068
(317) 497-6180
(317) 497-6184
Mailing address
549 E COUNTY LINE ROAD, SUITE A, GREENWOOD, IN 46143-1068
(317) 497-6180
(317) 497-6184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC9810
RR MEDICARE
IN
Enumeration date
07/18/2006
Last updated
11/27/2009
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