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.
Organization
SOUTH BEND CLINIC DBA RIVERVIEW HEALTH CENTER
Active
Organization
SOUTH BEND CLINIC DBA RIVERVIEW HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDI R VAIL-LUSH (MANAGER/CORPORATE SECRETARY)
(360) 942-4562
Entity
Organization
Contact information
Practice address
300 OCEAN AVE, RAYMOND, WA 98577-3016
(360) 942-3040
(360) 942-3955
Mailing address
PO BOX 666, RAYMOND, WA 98577-0666
(360) 942-3040
(360) 942-3955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00000626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086515
—
WA
05
—
7840408
—
WA
Enumeration date
10/24/2006
Last updated
04/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up