Organization
BRIGHTVIEW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE NIEMAN (DIRECTOR OF CREDENTIALING)
(833) 510-4357
Entity
Organization
Contact information
Practice address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124774
—
OH
05
—
7100629940
—
KY
Enumeration date
12/31/2014
Last updated
10/16/2023
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