Organization
RIVERVIEW HOSPITAL
Active
Other names
University Heights Health & Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT BUCCIARELLI (CFO)
(317) 773-0760
Entity
Organization
Contact information
Practice address
1380 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0962
(317) 885-7050
(317) 885-1022
Mailing address
3249 E COVENANTER DR, BLOOMINGTON, IN 47401-5479
(812) 332-2265
(823) 334-0853
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050002201
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267650A
—
IN
Enumeration date
02/22/2006
Last updated
05/01/2018
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