RIVERSIDE MEDICAL CENTER LLC is a multi-specialty clinic center in Provo, UT. RIVERSIDE MEDICAL CENTER LLC NPI is 1649567504. The provider is registered as an organization entity type. The provider Is Doing Business As Blue Rock Medical Center.
The provider's business location address is:
3152 N UNIVERSITY AVE STE 100 PROVO, UT ZIP 84604-729 Phone: (801) 229-2002 Fax: (801) 229-1003
The provider's authorized official is Barbara Givens . The authorized official title is Office Manager and has the following contact phone number (801) 229-2002.
The CLIA number assigned to this NPI record is 46D2261257 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/29/2011 and was last updated on 11/1/2012.
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:
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: 3/30/2025
NPI Synchronization or Removal
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