RIVERSIDE PHYSICIAN SERVICES INC NPI 1861414609

NPI Information

NPI: 1861414609
Provider Name: RIVERSIDE PHYSICIAN SERVICES INC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: RIVERSIDE PRIMARY CARE MIDTOWN
CLIA Number: 49D2283026
Address: 301 COLLEGE ROW UNIT 9101
WILLIAMSBURG, VA
ZIP 23185
Phone: (757) 782-6200

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NPI Details

RIVERSIDE PHYSICIAN SERVICES INC is a primary care clinic center in Williamsburg, VA. RIVERSIDE PHYSICIAN SERVICES INC NPI is 1861414609. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Primary Care Midtown.

The provider's business location address is:

301 COLLEGE ROW UNIT 9101
WILLIAMSBURG, VA
ZIP 23185-694
Phone: (757) 782-6200
Fax: (757) 594-2195

The provider's authorized official is Braden Miller .
The authorized official title is Cfo and has the following contact phone number (757) 316-5906.

The CLIA number assigned to this NPI record is 49D2283026 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/27/2023.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 3/30/2025

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