| Riverview Services, LLC | |
|
417 River Dr Irvine KY 40336-1272 | |
| (606) 723-0695 | |
| (606) 723-0043 |
| Full Name | Riverview Services, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 417 River Dr, Irvine, Kentucky |
| Authorized Official Name and Position | Pamela Sue Jones (NURSE PRACTITIONER) |
| Authorized Official Contact | 6066436104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Services, LLC 417 River Dr Irvine KY 40336-1272 Ph: (606) 723-0695 | Riverview Services, LLC 417 River Dr Irvine KY 40336-1272 Ph: (606) 723-0695 |
| NPI Number | 1275104481 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 3577960772 |
|---|---|
| Medicare Enrollment ID | O20210929003580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275104481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Pamela Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205807849 PECOS PAC ID: 8123159795 Enrollment ID: I20100625000189 |
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