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NPI Code Detail

MEDICARE: RIVERVALLEY BEHAVIORAL HEALTH INC

MEDICARE: RIVERVALLEY BEHAVIORAL HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1598623670
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVERVALLEY BEHAVIORAL HEALTH INC
Provider Business Mailing Address
First Line : PO BOX 1637
Second Line :
City : OWENSBORO
State : KY
Zip : 42302-1637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 WALNUT ST
Second Line :
City : OWENSBORO
State : KY
Zip : 42301-2956
Country : US
Telephone Number : 270-689-6577
Fax Number :
Authorized Official
Title or Position : CFO
Name : ERIC HICKS
Credential :
Telephone Number : 270-689-6540
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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