Healthcare Provider Details

I. General information

NPI: 1518509181
Provider Name (Legal Business Name): RIVERVIEW HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9690 E 116TH ST
FISHERS IN
46037-2838
US

IV. Provider business mailing address

395 WESTFIELD RD.
NOBLESVILLE IN
46060-1425
US

V. Phone/Fax

Practice location:
  • Phone: 317-214-5750
  • Fax: 317-214-5751
Mailing address:
  • Phone: 317-773-0760
  • Fax: 317-770-6911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAYNA L FRIEND
Title or Position: CFO
Credential:
Phone: 317-776-7228