Active NPI
River Valley Occupational Health
- Occupational Medicine Clinic/Center
- Russellville, AR
National Provider Identifier
1285919597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- River Valley ABA Services, Inc.
- River Valley Foot & Ankle Clinic
- River Valley Medical Wellness, LLC
- River Valley Mobile Radiology, Inc.
- River Valley Obstetrics and Gynecology, P. a.
- River Valley Pediatric Therapy
- River Valley Psychology PLLC
- River Valley Sleep Associates, Inc
- River Valley Surgery Center PLLC
- River Valley Therapy & Sports Medicine Inc
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.