Healthcare Provider Details

I. General information

NPI: 1811717481
Provider Name (Legal Business Name): VERVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 W FISHER ST
MONTICELLO IN
47960-1737
US

IV. Provider business mailing address

12400 N MERIDIAN ST STE 160
CARMEL IN
46032-4600
US

V. Phone/Fax

Practice location:
  • Phone: 574-727-2239
  • Fax:
Mailing address:
  • Phone: 317-573-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GERALD ERB
Title or Position: CEO
Credential:
Phone: 317-573-7600