# RIVERVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colonial Oaks Health and Rehabiliation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033225669
- **Authorized official:** MR. GARY OTT (PRESIDENT)
- **Authorized official phone:** (765) 664-5400

## Contact information

- **Practice address:** 4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
- **Practice address phone:** (765) 674-9791
- **Practice address fax:** (765) 674-7117
- **Mailing address:** 4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
- **Mailing address phone:** (765) 674-9791
- **Mailing address fax:** (765) 674-7117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IN | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 11/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100266300 | — | IN |