Organization Name: | RIVERVIEW HOSPITAL |
NPI Number: | 1083915151 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICIA K FOX (PRESIDENT/CEO) |
Mailing Address: | 395 Westfield Rd Noblesville |
State: | IN US |
Postal Code: | 460601425 |
Phone Number: | 3177730760 |
Fax Number: | 3177767921 |
NPI Enumeration Date: | 11/05/2010 |
NPI Last Update Date: | 11/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 10001233A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |