Organization
RIVERSIDE COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA MEDALIE (EXECUTIVE VICE PRESIDENT)
(781) 320-5328
Entity
Organization
Contact information
Practice address
190 LENOX ST, NORWOOD, MA 02062-3416
(781) 329-0909
(781) 329-2631
Mailing address
270 BRIDGE ST STE 301, DEDHAM, MA 02026-1798
(781) 329-0909
(781) 329-2631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007559
NHP EI
MA
01
—
1004385
BEACON -FALLON & NHP
MA
05
—
1307991
—
MA
05
—
1308009
—
MA
05
—
1308017
—
MA
05
—
1308238
—
MA
05
—
1310909
—
MA
05
—
1310925
—
MA
05
—
1316273
—
MA
05
—
1316281
—
MA
05
—
1802704
—
MA
01
—
42285
MAGELLAN
MA
01
—
612780
TUFTS
MA
01
—
617939
HPHC
MA
01
—
715687
TUFTS
MA
01
—
EI0028
BLUECROSSBLUESHIELDMA
MA
01
—
M18647
BLUECROSSBLUESHIELD MA
MA
Enumeration date
08/25/2006
Last updated
11/02/2017
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