Riverwood Family Medicine Pc in Grand Rapids - Family Medicine
Riverwood Family Medicine Pc - NPI 1972677656
Riverwood Family Medicine Pc is a Family Medicine in Grand Rapids, Michigan. Riverwood Family Medicine Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Riverwood Family Medicine Pc is 1972677656. The last update date is 2011-04-21.
Riverwood Family Medicine Pc's current location address is 3299 Clear Vista Ct Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163611200 and fax number 6163612198. The mailing address for Riverwood Family Medicine Pc is 3299 Clear Vista Ct Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverwood Family Medicine Pc |
|---|---|
| Address | 3299 Clear Vista Ct Ne, Grand Rapids, Michigan |
| Phone Number | 6163611200 |
| Fax Number | 6163612198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Clark N Randall |
| Credentials | M.D. |
| Telephone Number | 6163611178 |
NPI Number Detail
| NPI Number | 1972677656 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2011-04-21 |
Provider Mailing Address Detail
| Address | 3299 Clear Vista Ct Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259477 |
| Phone Number | 6163611200 |
| Fax Number | 6163612198 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080D148480 | MI | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Riverwood Family Medicine Pc by the Centers for Medicare & Medicaid Services?
The Riverwood Family Medicine Pc has been issued the NPI (National Provider Identifier) 1972677656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Riverwood Family Medicine Pc's facilities are situated?
The facilities of Riverwood Family Medicine Pc are physically located at the following address: 3299 Clear Vista Ct Ne, Grand Rapids, MI, 495259477.
What is the area of specialization for Riverwood Family Medicine Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Riverwood Family Medicine Pc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
When did the Riverwood Family Medicine Pc receive its 1972677656?
The Riverwood Family Medicine Pc was issued its 1972677656 on 2006-11-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Riverwood Family Medicine Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Riverwood Family Medicine Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-04-21.