RIVERBANK PRIMARY CARE MEDICAL CLINIC INC. (NPI# 1043372618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043372618 |
| Entity Type | Organization |
| Organization Name | RIVERBANK PRIMARY CARE MEDICAL CLINIC INC. |
| Other Organization Name | RIVERBANK PRIMARY CARE CLINIC |
| Practice Address |
3227 Stanislaus St. Ste 'a' Riverbank CA 95367 |
| Practice Telephone | 2098690131 |
| Practice Fax Number | 2098695409 |
| Mailing Telephone | 2098690131 |
| Mailing Fax Number | 2098695409 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-04-09 |
| Authorized Official Name | MR. JOHN PATRICK ERRO (ADMINISTRATOR) |
| Authorized Official Telephone | 2098690131 |
| Authorized Official Credential | PA/FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
RHM53859F | CA | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53859F | 05 |
| Other Name | Type Code |
|---|---|
| Riverbank Primary Care Clinic | Former Legal Business Name - Organization |
| Street Address |
3227 STANISLAUS ST. STE 'A' |
| City | RIVERBANK |
| State | CA |
| Zip Code | 95367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1831407410 | Workplace Wellness Center | Community/Behavioral Health | 2861 Turpin Ave, Riverbank, CA 95367 | 2010-09-17 |
| 1083843940 | Lorraine Marie Romero | Nurse Practitioner | 4150 Patterson Rd, Riverbank, CA 95367 | 2009-07-13 |
| 1366518169 | Reni Varghese | Pharmacist | 1777 W. Yosemite Avenue, Manteca, CA 95367 | 2006-11-27 |
| 1760566434 | Brian Edward Elliott | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367 | 2006-10-25 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1508879396 | George E Schauf | Family Medicine | 3443 Atchison St, Riverbank, CA 95367 | 2006-08-14 |
| 1356360184 | Lawrence D. Podolsky | Obstetrics & Gynecology | 2603 Patterson Road, Suite 2, Riverbank, CA 95367 | 2006-07-19 |
| 1295704484 | Karen A. Schaaf | Registered Nurse | 1425 West H. Street #380, Oakdale, CA 95367 | 2006-03-17 |
| 1679547897 | Arundati D Halappa | Family Medicine | 4150 Patterson Road, Riverbank, CA 95367 | 2006-02-14 |
| Find all providers in zip 95367 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548301633 | Oak Valley Hospital District | Clinic/Center | 2603 Patterson Rd, Suite 3, Riverbank, CA 95367-3407 | 2007-02-09 |
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| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
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| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.