Organization
RIVERVIEW HOSPITAL
Active
Other names
Altenheim Health & Living
Organization subpart
No
Provider details
NPI number
Authorized official
BRITT GRANNAN (CONTROLLER)
(812) 961-1864
Entity
Organization
Contact information
Practice address
3525 EAST HANNA AVENUE, INDIANAPOLIS, IN 46237
(317) 788-4261
(317) 781-4512
Mailing address
2749 E. COVENANTER DR., BLOOMINGTON, IN 47401
(812) 332-2265
(812) 334-0853
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290000
—
IN
Enumeration date
05/10/2010
Last updated
05/05/2016
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