Active NPI
River Medical Inc
- Land Ambulance
- Lake Havasu City, AZ
National Provider Identifier
1316944846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 94
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070409 | Medicaid | AZ |
Other names 1
- American Medical Response; AMR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081027000693 | AZ | Part B Supplier - Ambulance Service Supplier | 7810055332 | Practice locations: Lake Havasu City, AZ; Kingman, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0883517 | River Medical Inc | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.