Organization Name: | RIVERTON MEMORIAL HOSPITAL LLC |
NPI Number: | 1003902669 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD J. BIVACCA (PRESIDENT) |
Mailing Address: | 2100 W Sunset Dr Riverton |
State: | WY US |
Postal Code: | 825012274 |
Phone Number: | 3078564161 |
Fax Number: | 3078573571 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |