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Organization

RIVERVIEW HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JAYNA L. FRIEND (CFO)
(317) 776-7228
Entity
Organization

Contact information

Practice address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760
(317) 776-7921
Mailing address
395 WESTFIELD RD, NOBLESVILLE, IN 46060-1425
(317) 773-0760
(317) 776-7921

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10001233A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001233A
INDIANA LICENSE
IN
Enumeration date
11/05/2010
Last updated
08/01/2023
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