Organization
RIVERVIEW HOSPITAL
Active
Other names
Parker Health Care & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY OTT (PRESIDENT)
(765) 664-5400
Entity
Organization
Contact information
Practice address
359 RANDOLPH STREET, PARKER CITY, IN 47368
(765) 468-8280
(765) 468-8580
Mailing address
359 RANDOLPH STREET, PARKER CITY, IN 47368
(765) 468-8280
(765) 468-8580
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273190D
—
IN
Enumeration date
08/23/2006
Last updated
08/01/2014
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