# RIVERVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASHTON CREEK HEALTH AND REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326310400
- **Authorized official:** MR. DWIGHT A OTT (SECRETARY/TREASURER)
- **Authorized official phone:** (765) 664-5400

## Contact information

- **Practice address:** 4111 PARK PLACE DRIVE, FORT WAYNE, IN 46845-8793
- **Practice address phone:** (765) 664-5400
- **Mailing address:** 1800 N WABASH RD, ATTENTION: BETH KLEE, MARION, IN 46952-1300
- **Mailing address phone:** (765) 664-5400
- **Mailing address fax:** (765) 664-5403

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2012
- **Last updated:** 10/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201080610 | — | IN |