| Ri International | |
|
47915 Oasis St Ste C Indio CA 92201-6950 | |
| (951) 217-0738 | |
| Not Available |
| Full Name | Ri International |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 47915 Oasis St Ste C, Indio, California |
| Authorized Official Name and Position | Corina Ogaz (ASSOCIATE DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6026363085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri International 2701 N 16th St Ste 316 Phoenix AZ 85006-1266 Ph: (602) 650-1212 | Ri International 47915 Oasis St Ste C Indio CA 92201-6950 Ph: (951) 217-0738 |
| NPI Number | 1619535234 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20220418001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619535234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | (* (Not Available)) | Primary |
| Provider Name | Laura A Conley-prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093179780 PECOS PAC ID: 5092006312 Enrollment ID: I20160616001782 |
| Provider Name | Nicole Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891187456 PECOS PAC ID: 6204112014 Enrollment ID: I20170410002476 |
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