Organization
RIVERVIEW HEALTH CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY J MCCALE (OFFICE MANAGER)
(304) 295-5505
Entity
Organization
Contact information
Practice address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105
(304) 295-5505
(304) 295-0503
Mailing address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105
(304) 295-5505
(304) 295-0503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
702
WV
225100000X
Physical Therapist
002160
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275961
MAMSI
WV
01
—
5723775
AETNA
WV
05
—
7600003000
—
WV
01
—
U74375
CARELINK
WV
Enumeration date
09/14/2006
Last updated
04/20/2008
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