Organization Active NPI

River Valley Occupational Health

  • Occupational Medicine Clinic/Center
  • Russellville, AR
National Provider Identifier
1285919597
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
RIVER VALLEY OCCUPATIONAL HEALTH
Practice address
821 W 2ND CT
Russellville, AR 72801-4939
Phone
(479) 890-7945
Fax
(479) 880-9629
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Kellye Morgan
Title
Ceo
Phone
(479) 890-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

821 W 2ND CT
Russellville, AR 72801-4939

Mailing address

PO Box 9178
Russellville, AR 72811-9178
Phone (479) 968-7930

National Provider Directory

National Provider Directory

Locations

821 W 2nd Ct
Russellville, AR 72801
Phone (479) 890-7945

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1285919597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "479-968-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 2ND CT",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014939",
            "telephone_number": "479-890-7945",
            "fax_number": "479-880-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY OCCUPATIONAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KELLYE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-890-7945"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.