| Organization Name: | RIVER CITIES COMMUNITY CLINIC INC. |
| NPI Number: | 1144387713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE MARIE MAHLSTEDE (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 813 Hancock Rd Suite 2 Bullhead City |
| State: | AZ US |
| Postal Code: | 864425032 |
| Phone Number: | 9287049700 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 06/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |