Provider Demographics
NPI:1871690149
Name:RIVERVIEW URGENT CARE LLP
Entity Type:Organization
Organization Name:RIVERVIEW URGENT CARE LLP
Other - Org Name:RIVERVIEW MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:563-289-2273
Mailing Address - Street 1:200 S CODY RD
Mailing Address - Street 2:
Mailing Address - City:LECLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753-9579
Mailing Address - Country:US
Mailing Address - Phone:563-289-2273
Mailing Address - Fax:563-289-1605
Practice Address - Street 1:200 S CODY RD
Practice Address - Street 2:
Practice Address - City:LECLAIRE
Practice Address - State:IA
Practice Address - Zip Code:52753-9579
Practice Address - Country:US
Practice Address - Phone:563-289-2273
Practice Address - Fax:563-289-1605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0460055Medicaid
IAI14919Medicare ID - Type Unspecified
IA0460055Medicaid