RIVER HEALTH & WELLNESS LLC. NPI 1083264022

NPI Information

NPI: 1083264022
Provider Name: RIVER HEALTH & WELLNESS, LLC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 02D2173299

Address:
35670 KENAI SPUR HWY STE 103A
SOLDOTNA, AK
ZIP 99669
Phone: (907) 260-1655
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RIVER HEALTH & WELLNESS, LLC. is a primary care clinic center in Soldotna, AK. RIVER HEALTH & WELLNESS, LLC. NPI is 1083264022. The provider is registered as an organization entity type.

The provider's business location address is:

35670 KENAI SPUR HWY STE 103A
SOLDOTNA, AK
ZIP 99669-649
Phone: (907) 260-1655
Fax: (980) 495-8870

The provider's authorized official is Tanecia Webster .
The authorized official title is Owner and has the following contact phone number (907) 260-1655.

The CLIA number assigned to this NPI record is 02D2173299 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2019 and was last updated on 5/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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