MEDICARE: RIVERVIEW HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000097796	OTHER	IN	ANTHEM PROVIDER NUMBER

General Provider Information

NPI Number	:	1700883717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERVIEW HOSPITAL

Provider Business Mailing Address
First Line	:	395 WESTFIELD RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1425
Country	:	US
Telephone Number	:	317-776-7363
Fax Number	:	317-776-7433

Provider Business Practice Location Address
First Line	:	395 WESTFIELD RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1425
Country	:	US
Telephone Number	:	317-776-7363
Fax Number	:	317-776-7433

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. DAVE HYATT
Credential	:
Telephone Number	:	317-776-7102

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	01/31/2025

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Directions to “RIVERVIEW HOSPITAL ” Practice Location

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