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General NPI Number Information
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NPI Number | 1831452994
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Entity Type | Organization
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Legal Business Name | RIVER HOSPITAL, INC.
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 4 FULLER ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1391
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Country | US
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Telephone | 315-482-1207
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Fax | 315-482-3727
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Provider Business Mailing Address
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Address Line | 4 FULLER ST
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City | ALEXANDRIA BAY
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State | NY
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Zip | 13607-1316
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Country | US
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Telephone | 315-482-2511
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Fax | 315-482-4981
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE MANAGEMENT
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Name | CARRIE BETH BOVA
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Credential |
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Telephone | 315-482-1207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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