# RIVER VALLEY COMMUNITY HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Valley Community Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558982413
- **Authorized official:** HUGO DE OLIVEIRA (OWNER)
- **Authorized official phone:** (360) 228-5084

## Contact information

- **Practice address:** 424 WILLIAMS ST, MOSSYROCK, WA 98564-9001
- **Practice address phone:** (360) 506-8352
- **Mailing address:** PO BOX 326, MOSSYROCK, WA 98564-0326
- **Mailing address phone:** (360) 983-3589
- **Mailing address fax:** (360) 450-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 04/08/2021