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RIVERSIDE COMMUNITY CARE NPI 1346464823


NPI Information

NPI: 1346464823
Provider Name: RIVERSIDE COMMUNITY CARE

Doing Business As: RIVERSIDE COMMUNITY CARE

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
255 HIGHLAND AVE
NEEDHAM, MA
ZIP 02494
Phone: (781) 449-1884
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RIVERSIDE COMMUNITY CARE is a public health and state or local clinic center in Needham, MA. RIVERSIDE COMMUNITY CARE NPI is 1346464823. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Community Care.

The provider's business location address is:

255 HIGHLAND AVE
NEEDHAM, MA
ZIP 02494-023
Phone: (781) 449-1884

The provider's authorized official is Marsha Medalie .
The authorized official title is Executive Vice Pres. and has the following contact phone number (781) 320-5328.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 5/1/2013.


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
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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
11802704MEDICAIDMASSACHUSETTS
20007559OTHERNHP
3617939OTHERHPHC
4715687OTHERTUFTS EI
5EI0028OTHERBCBSMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.