Organization Active NPI

River Valley Women's Care LLC

  • Family Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1912726662
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
RIVER VALLEY WOMEN'S CARE LLC
Doing business as
River Valley Women's Care LLC
Practice address
1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268
Phone
(918) 564-2010
Fax
(918) 564-2080
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Samantha Joann SagerNPI 1336885839
Title
Aprn, FNP-C
Phone
(918) 839-2282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268

Mailing address

1301 S Broadway Ave Ste 2
Poteau, OK 74953-5268
Phone (918) 564-2010

Other names 1

  • River Valley Women's Care LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206000827 OK Part B Supplier - Clinic/Group Practice 3375079924 Receives reassigned benefits from 1 practitioner
Practice locations: Poteau, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1912726662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S BROADWAY AVE STE 2",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535268",
            "telephone_number": "918-564-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S BROADWAY AVE STE 2",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535268",
            "telephone_number": "918-564-2010",
            "fax_number": "918-564-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY WOMEN'S CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "SAGER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "APRN, FNP-C",
        "authorized_official_telephone_number": "918-839-2282"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Women's Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.