Riverbend Healthcare PLLC
NPI 1417620071 · Clinic/Center · Vicksburg, MS
Riverbend Healthcare PLLC is a Clinic/Center organization in Vicksburg, MS (NPI 1417620071).
Provider details
- NPI number
- 1417620071
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Manivanh Prudhomme, Ceo(601) 456-2277
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-07-29
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Frequently asked questions
- What is Riverbend Healthcare PLLC's NPI number?
- Riverbend Healthcare PLLC's National Provider Identifier (NPI) is 1417620071, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riverbend Healthcare PLLC?
- Riverbend Healthcare PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Riverbend Healthcare PLLC located?
- Riverbend Healthcare PLLC's practice location on file with NPPES is 2011 Hwy 61 N, Vicksburg, MS 39183.
- What is Riverbend Healthcare PLLC's phone number?
- The practice phone number listed in the NPPES registry for Riverbend Healthcare PLLC is (601) 456-2277.
- Who is the authorized official for Riverbend Healthcare PLLC?
- The authorized official listed on Riverbend Healthcare PLLC's NPPES record is Manivanh Prudhomme, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riverbend Healthcare PLLC's NPI active?
- Yes — Riverbend Healthcare PLLC's NPI (1417620071) is active in the NPPES registry as of the last update on 2023-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.