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Organization

RIVERVIEW HOSPITAL

Active
Other names
Lyons Health & Living Center
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
COUNTY ROAD 800 WEST, LYONS, IN 47443-0247
(812) 659-1440
(812) 659-9995
Mailing address
3249 E COVENANTER DR, BLOOMINGTON, IN 47401-5479
(812) 332-2265
(812) 334-0854

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050001441
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100266760B
IN
Enumeration date
02/23/2006
Last updated
12/06/2011
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