Provider Demographics
NPI:1922167428
Name:RIVERPORT ACUTE CARE
Entity Type:Organization
Organization Name:RIVERPORT ACUTE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CONN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:502-583-4700
Mailing Address - Street 1:7098 DISTRIBUTION DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-2879
Mailing Address - Country:US
Mailing Address - Phone:502-933-9700
Mailing Address - Fax:502-933-9787
Practice Address - Street 1:7098 DISTRIBUTION DR
Practice Address - Street 2:SUITE B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-2879
Practice Address - Country:US
Practice Address - Phone:502-933-9700
Practice Address - Fax:502-933-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty