Provider Demographics
NPI:1740462308
Name:RIFFE MEDICAL CENTER INC.
Entity type:Organization
Organization Name:RIFFE MEDICAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCCURRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-983-8990
Mailing Address - Street 1:PO BOX 810
Mailing Address - Street 2:
Mailing Address - City:MOSSYROCK
Mailing Address - State:WA
Mailing Address - Zip Code:98564-0810
Mailing Address - Country:US
Mailing Address - Phone:360-983-8990
Mailing Address - Fax:360-983-8995
Practice Address - Street 1:745 WILLIAMS ST.
Practice Address - Street 2:
Practice Address - City:MOSSYROCK
Practice Address - State:WA
Practice Address - Zip Code:98564
Practice Address - Country:US
Practice Address - Phone:360-983-8990
Practice Address - Fax:360-983-8995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00031132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA503862Medicare Oscar/Certification