South Bend Clinic Dba Riverview Health Center in Raymond - Family Medicine
South Bend Clinic Dba Riverview Health Center - NPI 1750465365
South Bend Clinic Dba Riverview Health Center is a Family Medicine in Raymond, Washington. South Bend Clinic Dba Riverview Health Center practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Bend Clinic Dba Riverview Health Center is 1750465365. The last update date is 2008-04-22.
South Bend Clinic Dba Riverview Health Center's current location address is Po Box 666, Raymond, Washington. You can contact this provider via phone number 3609423040 and fax number 3609423955. The mailing address for South Bend Clinic Dba Riverview Health Center is Po Box 666, Raymond, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bend Clinic Dba Riverview Health Center |
|---|---|
| Address | Po Box 666, Raymond, Washington |
| Phone Number | 3609423040 |
| Fax Number | 3609423955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER/CO |
|---|---|
| Authorized Official Name | Vail-Lush R Rhondi |
| Telephone Number | 3609424562 |
NPI Number Detail
| NPI Number | 1750465365 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2008-04-22 |
Provider Mailing Address Detail
| Address | Po Box 666 |
|---|---|
| City | Raymond |
| State | Washington (WA) |
| Post Code | 985770666 |
| Phone Number | 3609423040 |
| Fax Number | 3609423955 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OP00000626 |
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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 |
|---|---|---|---|
| 7840408 | WA | -- | |
| 7086515 | WA | -- |
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What is the South Bend Clinic Dba Riverview Health Center's 1750465365?
The South Bend Clinic Dba Riverview Health Center's NPI (National Provider Identifier) Number is 1750465365. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the South Bend Clinic Dba Riverview Health Center located?
The South Bend Clinic Dba Riverview Health Center is located at Po Box 666, Raymond, WA 985770666.
What is South Bend Clinic Dba Riverview Health Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Bend Clinic Dba Riverview Health Center is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750465365 to South Bend Clinic Dba Riverview Health Center?
The Centers for Medicare & Medicaid Services originally issued the 1750465365 to South Bend Clinic Dba Riverview Health Center on 2006-10-24.
As of what date were the details pertaining to South Bend Clinic Dba Riverview Health Center last refreshed?
The information related to the South Bend Clinic Dba Riverview Health Center, including its address, specialty, and other relevant details, was last updated on 2008-04-22.
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