Organization
BRIGHTVIEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KOVALL (VP OF MANAGED CARE)
(513) 834-7063
Entity
Organization
Contact information
Practice address
2202 MLK JR BLVD, PARIS, KY 40361-1281
(833) 510-4357
(866) 460-2997
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100715180
—
KY
Enumeration date
01/05/2015
Last updated
08/01/2023
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