RIVER REGION HUMAN SERVICES INC NPI 1225623184

NPI Information

NPI: 1225623184
Provider Name: RIVER REGION HUMAN SERVICES INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D1042392

Address:
3901 CARMICHAEL AVE
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 899-6300
Get Directions

RIVER REGION HUMAN SERVICES INC is a primary care clinic center in Jacksonville, FL. RIVER REGION HUMAN SERVICES INC NPI is 1225623184. The provider is registered as an organization entity type.

The provider's business location address is:

3901 CARMICHAEL AVE
JACKSONVILLE, FL
ZIP 32207-325
Phone: (904) 899-6300

The provider's authorized official is John Distefano .
The authorized official title is Clinic Consultant and has the following contact phone number (352) 317-3214.

The CLIA number assigned to this NPI record is 10D1042392 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2021 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »