Riverside General Hospital Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

460 Issued in TX

Legal business name

RIVERSIDE GENERAL HOSPITAL MEDICAL CLINIC

Doing business as

Riverside General Hospital

Practice address

3204 Ennis St
Houston, TX 77004-3213

Phone

(713) 526-2441

Fax

(713) 526-3554

NPI assigned

Aug 24, 2010

Organization subpart

Yes

Parent organization

HOSPITALAs reported in NPPES

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

Authorized official

Name

Earnest Gibson III

Title

President

Phone

(713) 526-2441

Specialties & licenses 1

Addresses

Other names 1

• Riverside General Hospital Doing business as

Part of

Riverside General Hosp

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hospital

  • General Acute Care Hospital
  • Desoto, TX
  • NPI 1821205840
  NPPES parent name

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1316253628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 ENNIS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043213",
            "telephone_number": "713-526-2441",
            "fax_number": "713-526-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 ENNIS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770043213",
            "telephone_number": "713-526-2441",
            "fax_number": "713-526-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE GENERAL HOSPITAL MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-526-2441",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juanita Aracely Rivers
• Mareshia Rochelle Rivers
• Rhonda J Rivers
• Tabitha Rivers
• Riverside General Hospital
• Riverside Pharmacy Dba Canal Pharmacy
• Riverside Regional EMS Inc
• Riverside Southeast Mental Health Clinic, Inc.
• Riverunbroken Trauma Counseling, PLLC
• Rivi Medical, PA

• Primary Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.