Riverbend Healthcare Pllc

LBN: Riverbend Healthcare Pllc
Riverbend Healthcare Pllc is an health care organization with primary practice located at 2011 Hwy 61 N , Vicksburg MS 39183. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Riverbend Healthcare Pllc can be contacted via phone (601) 456-2277, or through Prudhomme, Manivanh A via phone (601) 456-2277.

Contact Information

Primary practice address
2011 Hwy 61 N Vicksburg MS 39183
Phone: (601) 456-2277
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prudhomme, Manivanh A Family Nurse Practitioner (FNP)
Phone: (601) 456-2277

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1417620071
LBN Legal business name Riverbend Healthcare Pllc
DBA Doing business as
Authorized official Prudhomme, Manivanh A Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2021
Last updated Jan 17th, 2023 - about 2 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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