Organization
RIVERVIEW HOSPITAL
Active
Other names
Countryside Manor Health & Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT RODGERS (CFO)
(812) 332-2265
Entity
Organization
Contact information
Practice address
205 MARINE DR, ANDERSON, IN 46016-5937
(765) 649-0455
(812) 334-0853
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
060001601
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267190A
—
IN
Enumeration date
02/21/2007
Last updated
05/13/2016
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