Organization Active NPI

Riverview Hospital Association

Doing business as Riverview Family Clinic

  • Primary Care Clinic/Center
  • Nekoosa, WI
National Provider Identifier
1508927559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RIVERVIEW HOSPITAL ASSOCIATION
Doing business as
Riverview Family Clinic
Practice address
1015 Angelus Dr
Nekoosa, WI 54457-1617
Phone
(715) 886-2100
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Kaminski
Title
Director of PFS
Phone
(715) 422-7739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1015 Angelus Dr
Nekoosa, WI 54457-1617

Mailing address

1160 Rome Center Dr
Nekoosa, WI 54457-8705
Phone (715) 325-7422

Other identifiers 1

IdentifierTypeStateIssuer
32844400MedicaidWI

Other names 1

  • Riverview Family Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508927559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 ROME CENTER DR",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544578705",
            "telephone_number": "715-325-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 ANGELUS DR",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571617",
            "telephone_number": "715-886-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF PFS",
        "authorized_official_telephone_number": "715-422-7739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32844400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nekoosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.