Organization · Type 2 NPI
Rivera Medical Office, LLC
Rural Health Clinic/Center · Carlyle, IL
NPI number
1114073756
Active
Practice location
1110 Mulliken St
Carlyle, IL 62231-1233
Fax (681) 594-4799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 036096480 (IL) |
| Pediatrics Physician | 208000000X | 036096480 (IL) |
| Rural Health Clinic/Center Primary | 261QR1300X | 036-096480 (IL) |
Rural Health Clinic/Center: Definition to come...
4 other providers at this address
Other rural health clinic/center providers in Carlyle
- Rivera Medical, LLCRural Health Clinic/Center Carlyle, IL NPI 1467756338
- ST Josephs Hospital Breese of the Hospital Sisters of the Third OrdeRural Health Clinic/Center Carlyle, IL NPI 1710375977
- ST Josephs Hospital Breese of the Hospital Sisters of the Third OrdeRural Health Clinic/Center Carlyle, IL NPI 1780047944
- Advanced Surgical Technology, LLCRural Health Clinic/Center Carlyle, IL NPI 1831876838
About NPI 1114073756
Rivera Medical Office, LLC's National Provider Identifier is 1114073756, issued on Jan 26, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Carlyle, IL. The record was last updated on May 16, 2008.