Riverview Primary Care, Inc.
Organization Active NPI Family Medicine Physician · Ripley, OH
NPI 1962569913 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962569913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- RIVERVIEW PRIMARY CARE, INC.
- Practice address
- 9 Main St
Ripley, OH 45167-1229 - Phone
- (937) 392-0005
- Fax
- (937) 392-6067
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Consuela R Alley, M.D.
- Title
- President
- Phone
- (937) 392-0005
Practitioners 1
-
Consuela R Alley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031231000774 | OH | Part B Supplier - Clinic/Group Practice | 5597664219 |
Receives reassigned benefits from 1 practitioner Practice locations: Georgetown, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
9 Main St
Ripley, OH 45167-1229
Mailing address
9 Main St
Ripley, OH 45167-1229
Phone (937) 392-0005
Other providers in Ripley, OH
- Helen Louise Richey
- Ripley Clinic, LLC
- Ripley Life Squad
- Ripley-Union-Lewis-Huntington Schools
- Riverview Primary Care, Inc.
- Samantha Kay Rudd
- Kristel Salisbury Titus
- Saturday Clinic
- Stephanee Lee Teufel
- Phillip Truesdell
All providers in Ripley, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.