Organization
RIVERVIEW HOSPITAL
Active
Other names
Paoli Health & Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G. MOORE M.D. (PRESIDENT/CEO)
(812) 332-2265
Entity
Organization
Contact information
Practice address
559 LONGEST STREET, PAOLI, IN 47454-0299
(812) 723-2595
(812) 723-4407
Mailing address
3249 E COVENANTER DR, BLOOMINGTON, IN 47401-5479
(812) 332-2265
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050002261
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199267730C
—
IN
Enumeration date
02/22/2006
Last updated
03/20/2017
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