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Organization
RIVER VALLEY COMMUNITY HEALTH LLC
Active
Organization
RIVER VALLEY COMMUNITY HEALTH LLC
Active
Other names
River Valley Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO DE OLIVEIRA (OWNER)
(360) 228-5084
Entity
Organization
Contact information
Practice address
424 WILLIAMS ST, MOSSYROCK, WA 98564-9001
(360) 506-8352
Mailing address
PO BOX 326, MOSSYROCK, WA 98564-0326
(360) 983-3589
(360) 450-4488
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/01/2020
Last updated
04/08/2021
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