RIVER HOSPITAL, INC.; NPI #1831452994

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	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Acute Care	363LA2100X	50	Nurse Practitioner
Adolescent Medicine	2080A0000X	37	Physician/Pediatric Medicine
Adolescent Medicine	207QA0000X	08	Physician/Family Practice
Adult Medicine	207QA0505X	08	Physician/Family Practice
Family Medicine	207Q00000X	08	Physician/Family Practice
Geriatric Medicine	207QG0300X	08	Physician/Family Practice
Medical	363AM0700X	97	Physician Assistant
Pediatrics	208000000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for RIVER HOSPITAL, INC.

NPI Number 1831452994

LBN Legal business name RIVER HOSPITAL, INC.

Authorized official CARRIE BOVA - (DIRECTOR, REVENUE CYCLE MANAGEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/22/2012

Last updated 09/30/2020 - About 6 years ago

Identifiers

NY	Medicaid	02392854
NY	Medicaid	03011387
NY	Other	33D1050774	CLIA
NY	Other	1367324943	HPSA
NY	Other	02381	HPSA ID MUA

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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RIVER HOSPITAL, INC.

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NPI Profile & details for RIVER HOSPITAL, INC.

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