Riverside Family Practice, Pc
LBN: Riverside Family Practice, Pc
Riverside Family Practice, Pc is an health care organization with primary practice located at 3129 Blattner Dr , Cape Girardeau MO 63703-6364. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Riverside Family Practice, Pc can be contacted via phone (573) 335-0166, or through Palen, James E via phone (573) 335-0166.
Contact Information
Primary practice address
3129 Blattner Dr
Cape Girardeau MO 63703-6364
Phone: (573) 335-0166
Fax: (573) 335-7942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32836 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2000160642 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2000160642 | Missouri |
Profile Details
| NPI number | 1245286210 |
|---|---|
| LBN Legal business name | Riverside Family Practice, Pc |
| DBA Doing business as | |
| Authorized official | Palen, James E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245286210 | NPPES |
| Missouri | Other | 132330 | BLUE CROSS BLUE SHIELD |
| Missouri | Other | CI5917 | BLUE CROSS BLUE SHIELD |
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