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GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD INC. NPI 1285689711


NPI Information

NPI: 1285689711
Provider Name: GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.

Doing Business As: RIVERVALLEY BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1100 WALNUT ST
OWENSBORO, KY
ZIP 42301
Phone: (270) 689-6500
Get Directions

GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. is a mental health (including community mental health center) clinic center in Owensboro, KY. GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC. NPI is 1285689711. The provider is registered as an organization entity type.
The provider Is Doing Business As Rivervalley Behavioral Health.

The provider's business location address is:

1100 WALNUT ST
OWENSBORO, KY
ZIP 42301-956
Phone: (270) 689-6500
Fax: (270) 689-6500

The provider's authorized official is Eric Hicks .
The authorized official title is Cfo and has the following contact phone number (270) 689-6540.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/3/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)800003KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
129202033MEDICAIDKENTUCKY
217010307MEDICAIDKENTUCKY
327003011MEDICAIDKENTUCKY
429102035MEDICAIDKENTUCKY
533900093MEDICAIDKENTUCKY
629003010MEDICAIDKENTUCKY
730603013MEDICAIDKENTUCKY

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: 4/28/2024

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