Healthcare Provider Details

I. General information

NPI: 1730134123
Provider Name (Legal Business Name): RIVERVIEW REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S 3RD ST
GADSDEN AL
35901-5304
US

IV. Provider business mailing address

600 S 3RD ST
GADSDEN AL
35901-5304
US

V. Phone/Fax

Practice location:
  • Phone: 256-543-5200
  • Fax: 256-543-5888
Mailing address:
  • Phone: 256-543-5200
  • Fax: 256-543-5888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number10348
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAURIE HOLTSFORD
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 615-465-7466