Active NPI
River Valley Family Practice Inc
- Clinic/Center
- Burlington, IA
National Provider Identifier
1184789489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- RIVER VALLEY FAMILY PRACTICE INC
- Practice address
- 801 S Roosevelt Ave
Burlington, IA 52601-1691 - Phone
- (319) 759-1709
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Samberg
- Title
- President
- Phone
- (319) 759-1709
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
801 S Roosevelt Ave
Burlington, IA 52601-1691
Mailing address
PO Box 577
Burlington, IA 52601-0577
National Provider Directory
National Provider DirectoryLocations
801 S Roosevelt Ave
Burlington, IA 52601
Phone (319) 754-1400
801 S Roosevelt Ave
Ste B
Burlington, IA 52601
Phone (319) 752-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- West Burlington, IA
- NPI 1376635482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184789489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526010577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S ROOSEVELT AVE",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011691",
"telephone_number": "319-759-1709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VALLEY FAMILY PRACTICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAMBERG",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-759-1709"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.