| Dr. Vincent River, P.c. | |
|
1201 Main St Suite A Polson MT 59860-5333 | |
| (406) 883-8126 | |
| (406) 883-9226 |
| Full Name | Dr. Vincent River, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1201 Main St, Polson, Montana |
| Authorized Official Name and Position | Vincent Bryan River (PRESIDENT) |
| Authorized Official Contact | 4068838126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Vincent River, P.c. 1201 Main St Suite A Polson MT 59860-5333 Ph: (406) 883-8126 | Dr. Vincent River, P.c. 1201 Main St Suite A Polson MT 59860-5333 Ph: (406) 883-8126 |
| NPI Number | 1699965913 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 11/19/2008 |
| Medicare PECOS PAC ID | 3072538107 |
|---|---|
| Medicare Enrollment ID | O20051007000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699965913 | NPI | - | NPPES |
| 000051871 | Other | MT | BCBS |
| 490739 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 328 (Montana) | Primary |
| Provider Name | Vincent B River |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497821672 PECOS PAC ID: 7012949068 Enrollment ID: I20050909000922 |
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