RIVER RIDGE SURGICAL SUITES LLC NPI 1174165237

NPI Information

RIVER RIDGE SURGICAL SUITES, LLC is an ambulatory surgical clinic center in Jeffersonville, IN. RIVER RIDGE SURGICAL SUITES, LLC NPI is 1174165237. The provider is registered as an organization entity type.

The provider's business location address is:

2031 JEFFERSONVILLE COMMONS DR
JEFFERSONVILLE, IN
ZIP 47130-996
Phone: (812) 360-2578

The provider's authorized official is Zack Stearns .
The authorized official title is Coo and has the following contact phone number (502) 645-4456.

The CLIA number assigned to this NPI record is 15D2175660 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 10/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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