Provider Demographics
NPI:1568988582
Name:RIVERVIEW COMMUNITY ACTION CORPORATION
Entity Type:Organization
Organization Name:RIVERVIEW COMMUNITY ACTION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIETH-WOOLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-828-1062
Mailing Address - Street 1:P.O. BOX 437
Mailing Address - Street 2:501 2ND STREET
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-0437
Mailing Address - Country:US
Mailing Address - Phone:412-828-1062
Mailing Address - Fax:412-828-6985
Practice Address - Street 1:501 2ND STREET
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-0437
Practice Address - Country:US
Practice Address - Phone:412-828-1062
Practice Address - Fax:412-828-6985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101561646-0002Medicaid