Organization Name: | RIVERVIEW HOSPITAL |
NPI Number: | 1023416997 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA BAKER (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 395 Westfield Rd Wellness Clinic Noblesville |
State: | IN US |
Postal Code: | 460601425 |
Phone Number: | 3177730760 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2014 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1800X |
License Number: | 05-005054-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Corporate Health |
Taxonomy Definition: |