Organization
RIVER CITY MEDICAL GROUP, INC.
Active
Other names
Vivant Health
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY CLOTHIER (CREDENTIALING MANAGER)
(916) 228-4300
Entity
Organization
Contact information
Practice address
7311 GREENHAVEN DRIVE, SUITE 145, SACRAMENTO, CA 95831-3589
(916) 228-4300
(916) 424-6200
Mailing address
7311 GREENHAVEN DR STE 145, SACRAMENTO, CA 95831-3595
(916) 228-4300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
251X00000X
Supports Brokerage Agency
—
—
302F00000X
Exclusive Provider Organization
Primary
302F00000X
CA
Other
Enumeration date
03/19/2009
Last updated
01/02/2026
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