River Valley Medical Center – Federally Qualified Health Center (FQHC), NPI 1235133745

River Valley Medical Center is a healthcare provider. based in Tallahassee, Florida. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 00000 (FL). The NPI Number for River Valley Medical Center is 1235133745

Main info

Organization
Name
River Valley Medical Center
NPI
1235133745
Phone
(850) 385-4494
Address
2804 REMINGTON GREEN CIR STE 2
Authorized Official
LANE MILLER LUNN PRESIDENT/CEO
Enumeration Date
13 June 2005
Last Update Date
10 December 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for River Valley Medical Center

  • Remington Green Circle, Remington Green, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323081550

    Phone: (850) 385-4494

    Fax: (850) 298-6054

    Type: Mailing

  • Main Street, Crossmolina North ED, Ballina Municipal District, County Mayo, Connacht, Ireland

    MAYO, FL 320664127

    Phone: (386) 294-1446

    Fax: (386) 294-4218

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100827000950OFederally Qualified Health Center (Fqhc)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32308)

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Reviews

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Frequently asked questions

Does River Valley Medical Center share an NPI with anyone else?
NPI numbers are unique to each provider or organization — River Valley Medical Center uses 1235133745.
Does the file indicate River Valley Medical Center is practicing under active NPI?
Directory data currently reports River Valley Medical Center as active.
What taxonomy line describes River Valley Medical Center?
For research purposes, treat River Valley Medical Center as Federally Qualified Health Center (FQHC) in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for River Valley Medical Center?
River Valley Medical Center's geographic hint is Tallahassee, Florida in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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