National Provider Identifier Database

RIVER HOSPITAL INC
Rural Health

Contact Information

RIVER HOSPITAL, INC.
4 FULLER ST
ALEXANDRIA BAY, NY  13607-1391
Phone: 315-482-1207
Fax: 315-482-3727
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Acute Care 363LA2100X
Adolescent Medicine 2080A0000X
Adolescent Medicine 207QA0000X
Adult Medicine 207QA0505X
Family Medicine 207Q00000X
Geriatric Medicine 207QG0300X
Medical 363AM0700X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for RIVER HOSPITAL, INC.

NPI Number 1831452994
Legal business name
LBN		 RIVER HOSPITAL, INC.
Authorized official CARRIE BOVA - (DIRECTOR, REVENUE CYCLE MANAGEMENT)
Entity Organization
Organization subpart No
Enumeration date 06/22/2012
Last updated 09/30/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 02392854
  • NY Medicaid: 03011387
  • NY Other: 33D1050774 CLIA
  • NY Other: 1367324943 HPSA
  • NY Other: 02381 HPSA ID MUA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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