RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE; NPI #1639660194

Contact Information

RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE

20 WATER ST
CHESTER, CT 06412

Phone: 401-490-1289
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE

NPI Number 1639660194

LBN Legal business name RIVER VALLEY PEDIATRICS AND ADOLESCENT MEDICINE

Authorized official ELIZABETH BIRD - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/21/2018

Last updated 08/17/2018 - About 8 years ago

Identifiers

CT	License #	53136
CT	Medicaid	008080251

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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