Riverside Health Care Center

LBN: Riverside Health Care Center
Riverside Health Care Center is an health care organization with primary practice located at 1301 E Broadway St , Missoula MT 59802-4905. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Riverside Health Care Center can be contacted via phone (406) 721-0680, or through Goodman, John via phone (952) 361-8000.

Contact Information

Primary practice address
1301 E Broadway St Missoula MT 59802-4905
Phone: (406) 721-0680
Fax: (406) 721-1101
Website:
Map and Directions
Authorized official contact:
Name: Goodman, John CPA
Phone: (952) 361-8000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 636 Montana

Profile Details

NPI number 1609931641
LBN Legal business name Riverside Health Care Center
DBA Doing business as
Authorized official Goodman, John CPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609931641 NPPES
Other 2704496 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 212953 OTHER ID NUMBER-COMMERCIAL NUMBER

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