Organization
INDIAN RIVER MEMORIAL HOSPITAL, INC.
Active
Parent organization
INDIAN RIVER MEMORIAL HOSPITAL, INC.
Other names
Behavioral Health Center at Indian River Memorial Hospital, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIAN RIVER MEMORIAL HOSPITAL, INC.
Authorized official
DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization
Contact information
Practice address
1190 37TH ST, VERO BEACH, FL 32960-6507
(772) 567-4311
Mailing address
6801 BRECKSVILLE RD, STE 20 ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062
(216) 636-4969
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
4029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010104400
—
FL
01
—
309
BLUE CROSS
FL
Enumeration date
05/05/2008
Last updated
08/08/2025
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