River City Rehabilitation Llc

LBN: River City Rehabilitation Llc
River City Rehabilitation Llc is an health care organization with primary practice located at 1707 South Colorado Suite A, Greenville MS 38703. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. River City Rehabilitation Llc can be contacted via phone (662) 335-8332, or through Ashford, Gina L via phone (662) 335-8332.

Contact Information

Primary practice address
1707 South Colorado Suite A Greenville MS 38703
Phone: (662) 335-8332
Fax: (662) 335-8852
Website:
Map and Directions
Authorized official contact:
Name: Ashford, Gina L
Phone: (662) 335-8332

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1045 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0713 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0169 Mississippi

Profile Details

NPI number 1083607220
LBN Legal business name River City Rehabilitation Llc
DBA Doing business as
Authorized official Ashford, Gina L
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083607220 NPPES
Mississippi MEDICAID 09015486

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