# RIVERSIDE PHYSCIAN SERVICES INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERSIDE HEALTH CARE ASSOC
- **Other names:** Riverside Charlie W. and Golden Bethune Hill Community Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326603952
- **Legal business name:** RIVERSIDE HEALTH CARE ASSOC
- **Authorized official:** BILLIE JO BROWN (CREDENTIALING MANAGER)
- **Authorized official phone:** (757) 316-5901

## Contact information

- **Practice address:** 727 25TH ST, NEWPORT NEWS, VA 23607-4601
- **Practice address phone:** (757) 594-4060
- **Practice address fax:** (757) 594-4257
- **Mailing address:** 856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
- **Mailing address phone:** (757) 316-5800
- **Mailing address fax:** (757) 534-5190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 09/13/2023