1609074921 NPI number — RIVERVIEW HOSPITAL

Table of content: (NPI 1609074921)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609074921 NPI number — RIVERVIEW HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RIVERVIEW HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609074921
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 843022
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64184-3022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-770-6900
Provider Business Mailing Address Fax Number:
317-770-6911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
395 WESTFIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NOBLESVILLE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46060-1425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-773-0760
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HYATT
Authorized Official First Name:
DAVE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
317-776-7102

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RE0101X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XS0114X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0005X , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208VP0014X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 300003819 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300010967 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300014745 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300020856 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200241550 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200268140 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300001900 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300002687 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300020859 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300015676 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200094840 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200296790 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300003938 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300001918 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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