Organization
RIVERVIEW HOSPITAL
Active
Other names
RIVERVIEW WELLNESS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNA FRIEND (CHIEF FINANCIAL OFFICER)
(317) 776-7228
Entity
Organization
Contact information
Practice address
395 WESTFIELD RD, WELLNESS CLINIC, NOBLESVILLE, IN 46060-1425
(317) 773-0760
Mailing address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
05-005054-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081503
BLUE CROSS
IN
05
—
100127080A
—
IN
Enumeration date
12/09/2014
Last updated
06/12/2023
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