Provider Demographics
| NPI: | 1205943651 |
|---|---|
| Name: | RIVERHILLS HEALTHCARE INC |
| Entity type: | Organization |
| Organization Name: | RIVERHILLS HEALTHCARE INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | PATRICIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HAGLE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 513-961-4700 |
| Mailing Address - Street 1: | 4805 MONTGOMERY RD |
| Mailing Address - Street 2: | SUITE 150 |
| Mailing Address - City: | CINCINNATI |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 45212-2198 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 513-961-5558 |
| Mailing Address - Fax: | 513-961-1912 |
| Practice Address - Street 1: | 4805 MONTGOMERY RD STE 410 |
| Practice Address - Street 2: | |
| Practice Address - City: | CINCINNATI |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 45212-2198 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 513-241-2370 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-08-23 |
| Last Update Date: | 2024-09-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
| No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
| No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Multi-Specialty | |
| No | 2084N0600X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Clinical Neurophysiology | Group - Multi-Specialty |
| No | 2084P2900X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | Group - Multi-Specialty |
| No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
| No | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology | Group - Multi-Specialty |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 207LP2900X | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | Group - Multi-Specialty |
| No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care | Group - Multi-Specialty |
| No | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology | Group - Multi-Specialty |
| No | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
| No | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IN | 200069920A | Medicaid | |
| KY | 7100191820 | Medicaid | |
| KY | 78902616 | Medicaid | |
| OH | 0995946 | Medicaid | |
| KY | 65924599 | Medicaid | |
| KY | 89900260 | Medicaid | |
| OH | =========001 | Other | HEALTHNET GROUP NUMBER |
| OH | 0995946 | Medicaid | |
| KY | 78902616 | Medicaid | |
| KY | 65924599 | Medicaid | |
| OH | CA1351 | Medicare PIN | |
| IN | 200069920A | Medicaid | |
| OH | CC5271 | Medicare PIN | |
| OH | CB9880 | Medicare PIN | |
| OH | CA4109 | Medicare PIN |
