A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
taxonomy 261Q00000X
Identifiers
Type
Value
Notes
01
14485757
CAQH PROVIDER ID
01
073789087
DUNS
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Tracy Amerson-Rivers
Type code 5recorded 2022-05-10
Practice context
Multi-provider organization.
7 individual providers on file at this primary address.
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