RIVERS EDGE PRIMARY CARE LLC; NPI #1790378487

Contact Information

RIVERS EDGE PRIMARY CARE LLC

821 E MAIN ST STE 3
CHICOPEE, MA 01020

Phone: 413-409-6500
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Adult Health	363LA2200X	50	Nurse Practitioner
Community Health	363LC1500X	50	Nurse Practitioner
Family	363LF0000X	50	Nurse Practitioner
Women's Health	363LW0102X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for RIVERS EDGE PRIMARY CARE LLC

NPI #	`1790378487`
LBN Legal business name	RIVERS EDGE PRIMARY CARE LLC
Authorized official	JENNIFER JORDAN - (MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/15/2021
Last updated	02/15/2021 - About 5 years 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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RIVERS EDGE PRIMARY CARE LLC

Contact Information

Specialty

Primary Care

Adult Health

Community Health

Family

Women's Health

NPI Profile & details for RIVERS EDGE PRIMARY CARE LLC

Reviews for RIVERS EDGE PRIMARY CARE LLC