Organization
RIVERVIEW HOSPITAL
Active
Other names
Mason Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY OTT (PRESIDENT)
(765) 664-5400
Entity
Organization
Contact information
Practice address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
(574) 371-2139
Mailing address
900 PROVIDENT DR, WARSAW, IN 46580-3252
(574) 371-2500
(574) 371-2139
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10029060C
—
IN
Enumeration date
08/23/2006
Last updated
10/23/2013
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