Organization Active NPI

Code Blue Medical Services, LLC

Doing business as Rivers Bend Urgent Care

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maineville, OH
National Provider Identifier
1801088349
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
1701690 Issued in OH
Legal business name
CODE BLUE MEDICAL SERVICES, LLC
Doing business as
Rivers Bend Urgent Care
Practice address
87 E US Highway 22 and 3
Maineville, OH 45039-7841
Phone
(513) 677-9117
Fax
(513) 677-0045
NPI assigned
Aug 17, 2007
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
William R Danko, MDNPI 1629073721
Title
President
Phone
(513) 677-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 1701690 OH Primary

Addresses

Primary practice location

87 E US Highway 22 and 3
Maineville, OH 45039-7841

Mailing address

PO Box 643954
Cincinnati, OH 45264-3954
Phone (513) 677-9117

Other identifiers 1

IdentifierTypeStateIssuer
2801203MedicaidOH

Other names 1

  • Rivers Bend Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000505 OH Part B Supplier - Clinic/Group Practice 9234227992 Receives reassigned benefits from 1 practitioner
Practice locations: Maineville, OH

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
36D1074125Code Blue Medical Services LLC Dba87 East US Highway 22 and 3, Maineville, OH 45039Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5797 S State Route 48
Maineville, OH 45039

Practitioners & affiliated clinicians

Practitioners 4

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1801088349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643954",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643954",
            "telephone_number": "513-677-9117",
            "fax_number": "513-677-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 E US HIGHWAY 22 AND 3",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397841",
            "telephone_number": "513-677-9117",
            "fax_number": "513-677-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODE BLUE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DANKO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-677-9117",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OH",
            "license": "1701690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801203",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers Bend Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maineville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.