Organization
RIVERSIDE PHYSCIAN SERVICES INC
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
Legal business name
RIVERSIDE HEALTH CARE ASSOC
Authorized official
BILLIE JO BROWN (CREDENTIALING MANAGER)
(757) 316-5901
Entity
Organization
Contact information
Practice address
727 25TH ST, NEWPORT NEWS, VA 23607-4601
(757) 594-4060
(757) 594-4257
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
09/13/2023
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