NPIMap

Organization Active NPI

Green River Regional Mental Health/Mental Retardation Board, Inc.

Doing business as RiverValley Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Owensboro, KY
National Provider Identifier
1356383236
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
950012 Issued in KY
Legal business name
GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.
Doing business as
RiverValley Behavioral Health
Practice address
360 Rudy Rd
Owensboro, KY 42301-9562
Phone
(270) 691-0786
NPI assigned
Jun 12, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
J. Michael Mountain
Title
Cfo
Phone
(270) 689-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 950012 KY Primary

Addresses

Primary practice location

360 Rudy Rd
Owensboro, KY 42301-9562

Mailing address

PO Box 1637
Owensboro, KY 42302-1637
Phone (270) 691-0786

Other names 1

  • RiverValley Behavioral Health Doing business as

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
18D1024997Rivervalley Behavioral Health #2360 Rudy Road, Owensboro, KY 42301Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Green River Regional Mental16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

360 Rudy Rd
Owensboro, KY 42301
Phone (270) 691-0786

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1356383236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021637",
            "telephone_number": "270-691-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 RUDY RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423019562",
            "telephone_number": "270-691-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER REGIONAL MENTAL HEALTH/MENTAL RETARDATION BOARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "MOUNTAIN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-689-6500"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "950012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverValley Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.