| NPI | 1174114540 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-01-28 |
| Last Updated | 2024-09-24 |
| Authorized Official | Max Houseknecht CFO Phone: 5705675418 |
| Mailing Address | 259 Allegheny St Jersey Shore, PA 17740-1422 United States Phone: (570) 567-5444 | Fax: (570) 666-3074 📍 View Map |
| Primary Practice Address | 259 Allegheny St Jersey Shore, PA 17740-1422 United States Phone: (570) 567-5418 | Fax: (570) 666-3074 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
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About NPI 1174114540
River Valley Health is an organization registered in the CMS NPPES NPI Registry with NPI number 1174114540. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Jersey Shore, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-01-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174114540?
NPI 1174114540 belongs to River Valley Health, a Clinic/Center, Federally Qualified Health Center (FQHC) in Jersey Shore, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174114540 active?
The current status of NPI 1174114540 in the NPPES registry is Active. The record was last updated on 2024-09-24.
What specialty is NPI 1174114540?
NPI 1174114540 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174114540?
You can verify NPI 1174114540 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174114540?
The primary practice address on file for NPI 1174114540 is 259 Allegheny St, Jersey Shore, PA 17740-1422. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174114540 issued?
NPI 1174114540 was first issued (enumerated) on 2021-01-28. The NPPES record was last updated on 2024-09-24.
Practice Location Map
River Valley Health is located at 259 Allegheny St, Jersey Shore, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as River Valley Health. All records sourced from the CMS NPPES registry.