Healthcare Provider Details

I. General information

NPI: 1346232162
Provider Name (Legal Business Name): WESTVIEW HOSPITAL ER PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 GUION RD
INDIANAPOLIS IN
46222-1616
US

IV. Provider business mailing address

3630 GUION RD
INDIANAPOLIS IN
46222-1616
US

V. Phone/Fax

Practice location:
  • Phone: 317-920-7198
  • Fax: 317-920-7551
Mailing address:
  • Phone: 317-920-7198
  • Fax: 317-920-7551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. JERRY MARKS
Title or Position: CFO
Credential: CFO
Phone: 317-920-7257