Organization
RIVER VALLEY COMMUNITY HEALTH LLC
Active
Other names
River Valley Community Health
Organization subpart
No
Provider details
NPI number
Authorized official
HUGO DE OLIVEIRA (OWNER)
(360) 228-5084
Entity
Organization
Contact information
Practice address
424 WILLIAMS ST, MOSSYROCK, WA 98564-9001
(360) 506-8352
Mailing address
PO BOX 326, MOSSYROCK, WA 98564-0326
(360) 983-3589
(360) 450-4488
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045063
—
WA
Enumeration date
05/01/2020
Last updated
04/08/2021
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