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RIVERSIDE AMBULATORY SURGERY CENTER LLC NPI 1356311419


NPI Information

NPI: 1356311419
Provider Name: RIVERSIDE AMBULATORY SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
560 RIVERSIDE DRIVE
#A-101
SALISBURY, MD
ZIP 21801
Phone: (410) 749-0121
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RIVERSIDE AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Salisbury, MD. RIVERSIDE AMBULATORY SURGERY CENTER LLC NPI is 1356311419. The provider is registered as an organization entity type.

The provider's business location address is:

560 RIVERSIDE DRIVE
#A-101
SALISBURY, MD
ZIP 21801-700
Phone: (410) 749-0121
Fax: (410) 749-6807

The provider's authorized official is Kevin Thomas .
The authorized official title is Medical Director and has the following contact phone number (410) 749-0121.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 3/20/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1077MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1023TOTHERMARYLANDCAREFIRST
2ZZ42MEDICARE PINMARYLAND
3320088OTHERMARYLANDUNITED HEALTHCARE
4NN1OTHERDISTRICT OF COLUMBIABLUE SHEILD
5T78068100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.