Provider Demographics
NPI:1982838991
Name:RIVER CITIES HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:RIVER CITIES HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LANSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:760-326-4417
Mailing Address - Street 1:1050 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEEDLES
Mailing Address - State:CA
Mailing Address - Zip Code:92363-3815
Mailing Address - Country:US
Mailing Address - Phone:760-326-4414
Mailing Address - Fax:760-326-4419
Practice Address - Street 1:1050 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEEDLES
Practice Address - State:CA
Practice Address - Zip Code:92363-3815
Practice Address - Country:US
Practice Address - Phone:760-326-4414
Practice Address - Fax:760-326-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty