NPI | 1619275682 |
---|---|
Doing Business As | RIVERSTONE FAMILY HEALTH-DENTAL |
Entity Type | Organization |
Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 600304660-001-0027) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2022-11-02 |