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NPI Code Detail

MEDICARE: BEVERLY RILEY

MEDICARE: BEVERLY RILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker172V00000XMI

General Provider Information

NPI Number : 1124945415
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY RILEY
Provider Business Mailing Address
First Line : 2201 S GETTY ST
Second Line :
City : MUSKEGON HEIGHTS
State : MI
Zip : 49444-1207
Country : US
Telephone Number : 231-739-9315
Fax Number :
Provider Business Practice Location Address
First Line : 2201 S GETTY ST
Second Line :
City : MUSKEGON HEIGHTS
State : MI
Zip : 49444-1207
Country : US
Telephone Number : 231-739-9315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2026
Last Update Date : 06/30/2026

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Directions to “ BEVERLY RILEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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