NPIMap

Organization Active NPI

River City Recovery Center

  • Community/Behavioral Health Agency
  • Herald, CA
National Provider Identifier
1013200831
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
340002AN Issued in CA
Legal business name
RIVER CITY RECOVERY CENTER
Practice address
12490 Alta Mesa Rd
Herald, CA 95638-8409
Phone
(209) 748-2470
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Craig Koury, CAS II, NCACNPI 1811138100
Title
Executive Director
Phone
(916) 442-3979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 340002AN CA Primary

Addresses

Primary practice location

12490 Alta Mesa Rd
Herald, CA 95638-8409

Mailing address

500 22ND St
Sacramento, CA 95816-3503
Phone (916) 442-3979

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XOtherCACOMMUNITY/BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory
Tax ID family
River City Recovery Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1013200831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 22ND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163503",
            "telephone_number": "916-442-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 ALTA MESA RD",
            "city": "HERALD",
            "state": "CA",
            "postal_code": "956388409",
            "telephone_number": "209-748-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-442-3979",
        "authorized_official_credential": "CAS II, NCAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "340002AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY/BEHAVIORAL HEALTH",
            "identifier": "251S00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herald, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.