- Enrollment id
- O20030520000071
- Enrollment state
- MN
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1811046402
- Multiple npi flag
- Y
- Ccn
- 247252
- Associate id
- 7810806718
- Organization name
- RIVERVIEW HEALTHCARE ASSOCIATION
- Incorporation date
- 1898-03-31
- Incorporation state
- MN
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 323 S MINNESOTA ST
- City
- CROOKSTON
- State
- MN
- Zip code
- 567161601