RIVER HEALTH CARE LLC NPI 1184009086

NPI Information

  • NPI: 1184009086
  • Provider Name: RIVER HEALTH CARE, LLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: MAGNOLIA FOOT CARE CENTER
  • Address: 426 ABBEY WOODS
    BRANDON, MS
    ZIP 39047
  • Phone: (601) 941-6386

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NPI Details

RIVER HEALTH CARE, LLC is a podiatrist in Brandon, MS. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RIVER HEALTH CARE, LLC NPI is 1184009086. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Magnolia Foot Care Center.

The provider's business location address is:

426 ABBEY WOODS
BRANDON, MS
ZIP 39047-719
Phone: (601) 941-6386

The provider's authorized official is Larry K Cruel .
The authorized official title is Owner / President and has the following contact phone number (601) 941-6386.

The enumeration date for this NPI number is 7/21/2015 and was last updated on 7/21/2015.

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
1213E00000XPodiatrist80152MISSISSIPPIYes

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: 11/21/2025

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