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RIVERBEND HEALTHCARE PLLC
NPI 1417620071
Clinic/Center in Vicksburg, MS

Active since July 29, 2021
2011 HWY 61 N, VICKSBURG, MS 39183(601) 456-2277 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2023, Jul 29, 2021 (2 updates tracked since 2021).

About Riverbend Healthcare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERBEND HEALTHCARE PLLC (NPI 1417620071) is a healthcare organization registered as a clinic/center in Vicksburg, Mississippi and active in the NPI registry since July 2021. The organization lists Manivanh A Prudhomme, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417620071
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRIVERBEND HEALTHCARE PLLC
Location Address2011 HWY 61 NVicksburg, MS 39183
Mailing AddressPo Box 29841Belfast, ME 04915-2050 · (601) 456-2277
Phone(601) 456-2277
Organization SubpartNo
Authorized OfficialManivanh A PrudhommeCeo · (601) 456-2277
Enumeration DateJuly 29, 2021
Last NPPES UpdateJanuary 17, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1417620071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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 patient/client groups (e.g., radiology, poor, and public health).
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2011 HWY 61 N, Vicksburg, MS 39183
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverbend Healthcare PLLC's NPI number?

The NPI number for Riverbend Healthcare PLLC is 1417620071. It was assigned to this organization in the NPPES registry on July 29, 2021.

Where is Riverbend Healthcare PLLC located?

Riverbend Healthcare PLLC is located at 2011 Hwy 61 N, Vicksburg, MS 39183. The listed phone number is (601) 456-2277.

What is Riverbend Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Riverbend Healthcare PLLC accept?

Health plans from Molina Healthcare list Riverbend Healthcare PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverbend Healthcare PLLC was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.