# RIVERVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Morristown Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578522439
- **Authorized official:** MR. STEPHEN MOORE M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (812) 332-2265

## Contact information

- **Practice address:** 868 SOUTH WASHINGTON ST, MORRISTOWN, IN 46161-9633
- **Practice address phone:** (765) 763-6012
- **Practice address fax:** (765) 763-7261
- **Mailing address:** 868 SOUTH WASHINGTON ST, MORRISTOWN, IN 46161-9633
- **Mailing address phone:** (765) 763-6012
- **Mailing address fax:** (765) 763-7261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050004221 | IN | Yes |

## Other

- **Enumeration date:** 03/20/2006
- **Last updated:** 04/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000108756 | BLUE CROSS BLUE SHIELD | IN |
| 05 | — | 100291030A | — | IN |