NPIMap

Organization Active NPI

Riverwoods Urgent Care Center LC

  • Emergency Medicine Physician
  • Provo, UT
National Provider Identifier
1801894035
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
44244 Issued in UT
Legal business name
RIVERWOODS URGENT CARE CENTER LC
Practice address
280 West River Park Dr
Suite 120
Provo, UT 84604-5796
Phone
(801) 229-2011
Fax
(801) 224-0242
NPI assigned
Jul 12, 2005
Last updated
Dec 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Mrs. Marcia Fridell
Title
Office Manager
Phone
(801) 229-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 44244 UT Primary

Addresses

Primary practice location

280 West River Park Dr
Suite 120
Provo, UT 84604-5796

Mailing address

280 West River Park Dr
Suite 120
Provo, UT 84604-5796
Phone (801) 229-2011

National Provider Directory

National Provider Directory

Locations

280 River Park Dr
Ste 120
Provo, UT 84604
Phone (601) 229-2011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 76

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 76

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1801894035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WEST RIVER PARK DR",
            "address_2": "SUITE 120",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045796",
            "telephone_number": "801-229-2011",
            "fax_number": "801-224-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WEST RIVER PARK DR",
            "address_2": "SUITE 120",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045796",
            "telephone_number": "801-229-2011",
            "fax_number": "801-224-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOODS URGENT CARE CENTER LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "FRIDELL",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-229-2011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "44244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.