Organization Active NPI

River City Rehabiliation Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Antonio, TX
National Provider Identifier
1043537343
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
33 Issued in TX
Legal business name
RIVER CITY REHABILIATION CENTER, INC.
Practice address
680 Stonewall St
San Antonio, TX 78214-1908
Phone
(210) 924-7547
Fax
(210) 924-7547
NPI assigned
Apr 26, 2010
Last updated
Apr 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Mr. Raymond R Carvajal, R.PH
Title
Program Sponsor
Phone
(210) 924-7547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 33 TX Primary

Addresses

Primary practice location

680 Stonewall St
San Antonio, TX 78214-1908

Mailing address

680 Stonewall St
San Antonio, TX 78214-1908
Phone (210) 924-7547

National Provider Directory

National Provider Directory

Locations

680 Stonewall St
San Antonio, TX 78214
Phone (210) 924-7547

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1043537343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 STONEWALL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141908",
            "telephone_number": "210-924-7547",
            "fax_number": "210-924-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 STONEWALL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141908",
            "telephone_number": "210-924-7547",
            "fax_number": "210-924-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY REHABILIATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM SPONSOR",
        "authorized_official_telephone_number": "210-924-7547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.