Riverpark Primary Health Clinic, LLC.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

RIVERPARK PRIMARY HEALTH CLINIC, LLC.

Practice address

107 Front Street
Vidalia, LA 71373

Phone

(318) 336-2218

Fax

(318) 336-6066

NPI assigned

Aug 5, 2010

Organization subpart

No

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

Authorized official

Name

Deana Mabry, CFNP

Title

Administrator

Phone

(318) 336-2218

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1316251051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FRONT STREET",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-336-2218",
            "fax_number": "318-336-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FRONT STREET",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-336-2218",
            "fax_number": "318-336-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERPARK PRIMARY HEALTH CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-336-2218",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverpark After Hours Clinic LLC
• Riverpark Community Cath Lab, LLC
• Riverpark Counseling LLC
• Riverpark Imaging Center LLC
• Riverpark Laboratory Services
• Riverview Pulmonary Clinic
• Juanita Roberts
• Dorothy Robinson
• Pamela Robinson
• Pamela Marie Robinson

• Primary Care Clinic/Center in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.