Rivera Medical, Llc

LBN: Rivera Medical, Llc
Rivera Medical, Llc is an health care organization with primary practice located at 1110 Mulliken St , Carlyle IL 62231-1233. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Rivera Medical, Llc can be contacted via phone (618) 594-3613, or through Rivera, Lisa via phone (618) 594-3613.

Contact Information

Primary practice address
1110 Mulliken St Carlyle IL 62231-1233
Phone: (618) 594-3613
Fax: (618) 594-4799
Website:
Map and Directions
Authorized official contact:
Name: Rivera, Lisa
Phone: (618) 594-3613

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-096480 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-096480 Illinois
Ambulatory Health Care Facilities / Rural Health 261QR1300X 036-096480 Illinois

Profile Details

NPI number 1467756338
LBN Legal business name Rivera Medical, Llc
DBA Doing business as
Authorized official Rivera, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2011
Last updated Jun 29th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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