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Contact Information

RIVERSIDE PHYSICIAN SERVICES INC
856 J CLYDE MORRIS BLVD STE C
NEWPORT NEWS, VA23601-1318
 Phone: 757-875-2050
 Fax: 757-875-2070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for RIVERSIDE PHYSICIAN SERVICES INC

NPI Number 1063438943
LBN Legal business name RIVERSIDE PHYSICIAN SERVICES INC
Authorized official BILLIE JO BROWN - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/14/2006
Last updated 07/22/2024 - More than a year 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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