Organization Active NPI

River Medical Inc

  • Land Ambulance
  • Lake Havasu City, AZ
National Provider Identifier
1316944846
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
94 Issued in AZ
Legal business name
RIVER MEDICAL INC
Practice address
415 El Camino Way
Lake Havasu City, AZ 86403-4628
Phone
(928) 855-0048
Fax
(928) 855-5419
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Brian Scott Tierney
Title
Evp, Chief Financial Officer
Phone
(833) 703-2294

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 94 AZ Primary

Addresses

Primary practice location

415 El Camino Way
Lake Havasu City, AZ 86403-4628

Mailing address

PO Box 847102
Dallas, TX 75284-7102
Phone (800) 913-9106

Other identifiers 1

IdentifierTypeStateIssuer
070409MedicaidAZ

Other names 1

  • American Medical Response; AMR Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000693 AZ Part B Supplier - Ambulance Service Supplier 7810055332 Practice locations: Lake Havasu City, AZ; Kingman, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0883517River Medical Inc415 El Camino Way, Lake Havasu City, AZ 86403Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

3425 Rutherford St
Kingman, AZ 86409
Phone (928) 757-9235

2781 Osborn Dr
Lake Havasu City, AZ 86406
Phone (928) 505-5552

1001 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-8184

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1316944846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847102",
            "telephone_number": "800-913-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EL CAMINO WAY",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864034628",
            "telephone_number": "928-855-0048",
            "fax_number": "928-855-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "833-703-2294"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response; AMR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.