RIVERBARK INC NPI 1538497474

NPI Information

NPI: 1538497474
Provider Name: RIVERBARK INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 42D2017334

Address:
9 BUENA VISTA WAY
GREENVILLE, SC
ZIP 29615
Phone: (864) 884-2388
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RIVERBARK INC is a primary care clinic center in Greenville, SC. RIVERBARK INC NPI is 1538497474. The provider is registered as an organization entity type.

The provider's business location address is:

9 BUENA VISTA WAY
GREENVILLE, SC
ZIP 29615-621
Phone: (864) 884-2388

The provider's authorized official is Nancy Mann Netter .
The authorized official title is Owner and has the following contact phone number (864) 884-2388.

The CLIA number assigned to this NPI record is 42D2017334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2009 and was last updated on 12/4/2009.

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	19398	SOUTH CAROLINA	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

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