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Contact Information

RIVER CITY DERMATOLOGY PLLC
6741 FULTON ST E
ADA, MI49301
 Phone: 616-320-5450
 Fax: 616-320-0165
 Website: http://www.rivercityderm.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for RIVER CITY DERMATOLOGY PLLC

NPI # 1477326965
LBN Legal business name RIVER CITY DERMATOLOGY PLLC
Authorized official BETH SWENEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2023
Last updated 03/11/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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