RIVERPARK PRIMARY HEALTH CLINIC, LLC. – NPI #1316251051
Clinic/Center

RIVERPARK PRIMARY HEALTH CLINIC, LLC. is an AHC clinic located in VIDALIA, LA. NPPES has assigned the NPI number 1316251051 to RIVERPARK PRIMARY HEALTH CLINIC, LLC. on August 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 RIVERPARK PRIMARY HEALTH CLINIC, LLC. below.

NPI Profile for
RIVERPARK PRIMARY HEALTH CLINIC, LLC.

NPI Number
1316251051
Enumeration Date

(about 16 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
RIVERPARK PRIMARY HEALTH CLINIC, LLC.
Primary location
107 FRONT STREET
VIDALIA, LA 71373
Phone: (318) 336-2218 Fax: (318) 336-6066
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DEANA MABRY
ADMINISTRATOR
Phone: (318) 336-2218
Updated
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
261QP2300X
- Clinic/Center / Primary Care (Primary)

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.