# RIVERBANK PRIMARY CARE MEDICAL CLINIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverbank Primary Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043372618
- **Authorized official:** DR. NAOMI REYNOLDS MD (OWNER)
- **Authorized official phone:** (209) 869-0131

## Contact information

- **Practice address:** 3227 STANISLAUS ST., STE 'A', RIVERBANK, CA 95367
- **Practice address phone:** (209) 869-0131
- **Practice address fax:** (209) 869-5409
- **Mailing address:** 3227 STANISLAUS ST., STE 'A', RIVERBANK, CA 95367
- **Mailing address phone:** (209) 869-0131
- **Mailing address fax:** (209) 869-5409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | RHM53859F | CA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 07/20/2022