Organization
RIVERVIEW HOSPITAL
Active
Other names
Arbor Trace Health & Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G. MOORE MD (PRESIDENT/CEO)
(812) 332-2265
Entity
Organization
Contact information
Practice address
3701 HODGIN RD, RICHMOND, IN 47374-7443
(765) 939-3701
(765) 965-3895
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
050004551
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291010B
—
IN
Enumeration date
12/29/2005
Last updated
05/13/2016
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