# RIVERSIDE HEALTH CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083889893
- **Authorized official:** STACY R STUBBLEFIELD CNM/ARNP (OWNER)
- **Authorized official phone:** (509) 421-5077

## Contact information

- **Practice address:** 819 N MILLER ST, SUITE 1B, WENATCHEE, WA 98801-6604
- **Practice address phone:** (509) 888-1924
- **Practice address fax:** (509) 888-2238
- **Mailing address:** 819 N MILLER ST, SUITE 1B, WENATCHEE, WA 98801-6604
- **Mailing address phone:** (509) 888-1924
- **Mailing address fax:** (509) 888-2238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LW0102X | Women's Health Nurse Practitioner | — | WA | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | — | WA | — |
| 367A00000X | Advanced Practice Midwife | — | WA | Yes |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 08/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4322ST | ASURIS NW HEALTH | WA |
| 01 | — | 4444890 | CIGNA | WA |
| 01 | — | 7532701 | AETNA | — |
| 05 | — | 9656919 | — | WA |