Rivertown Family Medicine, P.C.

LBN: Rivertown Family Medicine, P.C.
Rivertown Family Medicine, P.C. is an health care organization with primary practice located at 1210 Main St , Conway SC 29526-3633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Rivertown Family Medicine, P.C. can be contacted via phone (843) 488-4300, or through Alford, Siena Shields via phone (843) 488-4300.

Contact Information

Primary practice address
1210 Main St Conway SC 29526-3633
Fax: (843) 488-4301
Website:
Authorized official contact:
Name: Alford, Siena Shields Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0285 South Carolina

Profile Details

NPI number 1174529317
LBN Legal business name Rivertown Family Medicine, P.C.
DBA Doing business as
Authorized official Alford, Siena Shields Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
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 1174529317 NPPES
South Carolina MEDICAID T19753
South Carolina MEDICAID TL0665

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