# RIVERVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Copper Trace Health and Living, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740662790
- **Authorized official:** BRANT BUCCIARELLI (CEO)
- **Authorized official phone:** (317) 773-0760

## Contact information

- **Practice address:** 1250 W 146TH ST, CARMEL, IN 46074-9808
- **Practice address phone:** (317) 844-5050
- **Mailing address:** 2749 E COVENANTER DR, BLOOMINGTON, IN 47401-5454
- **Mailing address phone:** (812) 332-2265

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2015
- **Last updated:** 03/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201341880 | — | IN |