Organization Name: | RIVERVIEW MEDICAL CENTER LLC |
NPI Number: | 1104137215 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY G SERAPHINE (PRESIDENT) |
Mailing Address: | 158 Hospital Dr Carthage |
State: | TN US |
Postal Code: | 370301083 |
Phone Number: | 6157359815 |
Fax Number: | 6157355143 |
NPI Enumeration Date: | 06/24/2010 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |