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RIVER CITY MEDICAL LLC NPI 1124681598


NPI Information

NPI: 1124681598
Provider Name: RIVER CITY MEDICAL LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6213 SNIDER RD STE A
MASON, OH
ZIP 45040
Phone: (859) 322-4702
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RIVER CITY MEDICAL LLC is a general practice in Mason, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RIVER CITY MEDICAL LLC NPI is 1124681598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6213 SNIDER RD STE A
MASON, OH
ZIP 45040-643
Phone: (859) 322-4702

The provider's authorized official is David Segraves .
The authorized official title is President and has the following contact phone number (513) 444-8047.

The enumeration date for this NPI number is 4/20/2019 and was last updated on 12/20/2019.


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
1208D00000XGeneral PracticeYes

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

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