# RIVERVIEW HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lyons Health & Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932175791
- **Authorized official:** DR. STEPHEN G. MOORE MD (PRESIDENT CEO)
- **Authorized official phone:** (812) 332-2265

## Contact information

- **Practice address:** COUNTY ROAD 800 WEST, LYONS, IN 47443-0247
- **Practice address phone:** (812) 659-1440
- **Practice address fax:** (812) 659-9995
- **Mailing address:** 3249 E COVENANTER DR, BLOOMINGTON, IN 47401-5479
- **Mailing address phone:** (812) 332-2265
- **Mailing address fax:** (812) 334-0854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050001441 | IN | Yes |

## Other

- **Enumeration date:** 02/23/2006
- **Last updated:** 12/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100266760B | — | IN |