NPIMap

Organization Active NPI

River View Urgent Care & Medical Center Inc

  • Urgent Care Clinic/Center
  • Burley, ID
National Provider Identifier
1790043693
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RIVER VIEW URGENT CARE & MEDICAL CENTER INC
Practice address
382 N Overland Ave
Burley, ID 83318-3433
Phone
(208) 678-6996
Fax
(208) 678-6866
NPI assigned
Apr 27, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Kyle D James
Title
Business Manager
Phone
(208) 678-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X ID Primary

Addresses

Primary practice location

382 N Overland Ave
Burley, ID 83318-3433

Mailing address

PO Box 820
Burley, ID 83318-0820
Phone (208) 678-6996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000548 ID Part B Supplier - Clinic/Group Practice 6901056555 Receives reassigned benefits from 24 practitioners
Practice locations: Burley, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1790043693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833180820",
            "telephone_number": "208-678-6996",
            "fax_number": "208-678-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 N OVERLAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833183433",
            "telephone_number": "208-678-6996",
            "fax_number": "208-678-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VIEW URGENT CARE & MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "208-678-6996"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.