Organization
RIVERVIEW HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT BUCCIARELLI (CFO)
(317) 773-0760
Entity
Organization
Contact information
Practice address
937 FRY RD, GREENWOOD, IN 46142-1820
(317) 881-3535
(317) 881-4038
Mailing address
2749 E COVENANTER DR, BLOOMINGTON, IN 47401-5454
(812) 332-2265
(812) 334-0853
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
352093620
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266620B
—
IN
Enumeration date
10/24/2005
Last updated
03/28/2018
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