Organization
RIVERBANK PRIMARY CARE MEDICAL CLINIC INC.
Active
Other names
Riverbank Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI REYNOLDS MD (OWNER)
(209) 869-0131
Entity
Organization
Contact information
Practice address
3227 STANISLAUS ST., STE 'A', RIVERBANK, CA 95367
(209) 869-0131
(209) 869-5409
Mailing address
3227 STANISLAUS ST., STE 'A', RIVERBANK, CA 95367
(209) 869-0131
(209) 869-5409
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
RHM53859F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53859F
—
CA
Enumeration date
12/13/2006
Last updated
07/20/2022
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