Healthcare Provider Details

I. General information

NPI: 1871690149
Provider Name (Legal Business Name): RIVERVIEW URGENT CARE LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S CODY RD
LECLAIRE IA
52753-9579
US

IV. Provider business mailing address

200 S CODY RD
LECLAIRE IA
52753-9579
US

V. Phone/Fax

Practice location:
  • Phone: 563-289-2273
  • Fax: 563-289-1605
Mailing address:
  • Phone: 563-289-2273
  • Fax: 563-289-1605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIN A MILLER
Title or Position: PARTNER
Credential: M.D.
Phone: 563-289-2273