Provider Demographics
NPI:1184677148
Name:COMMUNITY HOSPITALS OF INDIANA, INC
Entity Type:Organization
Organization Name:COMMUNITY HOSPITALS OF INDIANA, INC
Other - Org Name:RONALD K. ANDREWS, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-355-4887
Mailing Address - Street 1:120 W MCKENZIE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-3084
Mailing Address - Country:US
Mailing Address - Phone:317-462-1205
Mailing Address - Fax:317-467-9370
Practice Address - Street 1:120 W MCKENZIE RD
Practice Address - Street 2:SUITE A
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-3084
Practice Address - Country:US
Practice Address - Phone:317-462-1205
Practice Address - Fax:317-467-9370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INDA9743OtherRR MEDICARE
IN214420Medicare PIN