RIVERWOODS INTERVENTIONAL RADIOLOGY INC – NPI #1477646479
Clinic/Center

RIVERWOODS INTERVENTIONAL RADIOLOGY INC is an AHC clinic located in PROVO, UT. NPPES has assigned the NPI number 1477646479 to RIVERWOODS INTERVENTIONAL RADIOLOGY INC on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 15 years ago on Oct 27, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERWOODS INTERVENTIONAL RADIOLOGY INC below.

NPI Profile for
RIVERWOODS INTERVENTIONAL RADIOLOGY INC

NPI Number
1477646479
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERWOODS INTERVENTIONAL RADIOLOGY INC
Primary location
3152 N UNIVERSITY AVE
SUITE 150
PROVO, UT 84604-4729
Phone: (801) 437-4895 Fax: (801) 229-1003
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WENDELL GIBBY
OWNER
Phone: (801) 437-4895
Updated
Identifiers

Identifiers for RIVERWOODS INTERVENTIONAL RADIOLOGY INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT528906826089
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 UT 5414031-1704

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.