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NPI Code Detail

MEDICARE: RIVER CITIES UNITED WAY

MEDICARE: RIVER CITIES UNITED WAY
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
1251B00000XCase Management Agency
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1326813833
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER CITIES UNITED WAY
Provider Business Mailing Address
First Line : 145 LAKE HAVASU AVE N
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5616
Country : US
Telephone Number : 928-855-6333
Fax Number : 928-855-5275
Provider Business Practice Location Address
First Line : 145 LAKE HAVASU AVE N
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5616
Country : US
Telephone Number : 928-855-6333
Fax Number : 928-855-5275
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DEBI L PENNINGTON
Credential : MASTERS IOP
Telephone Number : 928-486-8620
Provider Enumeration Date : 11/15/2023
Last Update Date : 04/04/2024

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Directions to “RIVER CITIES UNITED WAY ” Practice Location

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