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Organization
RIVERVIEW HOSPITAL
Active
Organization
RIVERVIEW HOSPITAL
Active
Other names
Colonial Oaks Health and Rehabiliation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY OTT (PRESIDENT)
(765) 664-5400
Entity
Organization
Contact information
Practice address
4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
(765) 674-9791
(765) 674-7117
Mailing address
4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
(765) 674-9791
(765) 674-7117
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266300
—
IN
Enumeration date
08/23/2006
Last updated
11/03/2015
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