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General NPI Number Information
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NPI Number | 1740462308
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Entity Type | Organization
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Legal Business Name | RIFFE MEDICAL CENTER INC.
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 745 WILLIAMS ST.
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City | MOSSYROCK
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State | WA
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Zip | 98564
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Country | US
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Telephone | 360-983-8990
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Fax | 360-983-8995
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Provider Business Mailing Address
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Address Line | PO BOX 810
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City | MOSSYROCK
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State | WA
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Zip | 98564-0810
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Country | US
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Telephone | 360-983-8990
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Fax | 360-983-8995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN W MCCURRY
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Credential | MD
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Telephone | 360-983-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00031132
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License Number State | WA
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