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Contact Information

RIVERVIEW HEALTH CLINIC, PLLC
1605 GRAND CENTRAL AVE
VIENNA, WV26105
 Phone: 304-295-5505
 Fax: 304-295-0503
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RIVERVIEW HEALTH CLINIC, PLLC

NPI # 1417053042
LBN Legal business name RIVERVIEW HEALTH CLINIC, PLLC
Authorized official BECKY MCCALE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
WV License # 002160
WV License # 702
WV Medicaid 7600003000
WV Other 5723775 AETNA
WV Other U74375 CARELINK
WV Other 275961 MAMSI
WV Other 275961 OPTIMUM CHOICE INC
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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