RIVERSIDE HEALTH CARE CENTER NPI 1609931641

NPI Information

RIVERSIDE HEALTH CARE CENTER is a long term care pharmacy pharmacy in Missoula, MT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. RIVERSIDE HEALTH CARE CENTER NPI is 1609931641. The provider is registered as an organization entity type.

The provider's business location address is:

1301 E BROADWAY ST
MISSOULA, MT
ZIP 59802-905
Phone: (406) 721-0680
Fax: (406) 721-1101

The provider's authorized official is John Goodman .
The authorized official title is Managing Partner and has the following contact phone number (952) 361-8000.

The CLIA number assigned to this NPI record is 27D0042174 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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