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General NPI Number Information
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NPI Number | 1184998361
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY HEALTH
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 471 HEPBURN ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6122
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Country | US
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Telephone | 570-567-5400
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Fax | 570-567-5421
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Provider Business Mailing Address
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Address Line | 471 HEPBURN ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6122
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Country | US
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Telephone | 570-567-5400
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Fax | 570-567-5421
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Authorized Official
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Title or Position | PRESENDENT/CEO
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Name | MR. MAX HOUSEKNECHT JR.
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Credential |
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Telephone | 570-567-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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