Organization Name: | RIVERVIEW HEALTHCARE ASSOCIATION |
NPI Number: | 1386819894 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY ARVIDSON (CFO) |
Mailing Address: | 323 South Mn St Crookston |
State: | MN US |
Postal Code: | 567160323 |
Phone Number: | 8005849226 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2008 |
NPI Last Update Date: | 07/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |