RIVERSIDE SURGERY CENTER LLC NPI 1871500967

NPI Information

NPI: 1871500967
Provider Name: RIVERSIDE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6829 PARKER RD
FLORISSANT, MO
ZIP 63033
Phone: (314) 373-2063
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RIVERSIDE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Florissant, MO. RIVERSIDE SURGERY CENTER, LLC NPI is 1871500967. The provider is registered as an organization entity type.

The provider's business location address is:

6829 PARKER RD
FLORISSANT, MO
ZIP 63033-312
Phone: (314) 373-2063
Fax: (314) 373-2070

The provider's authorized official is Polly J Johnes .
The authorized official title is Administrator and has the following contact phone number (314) 373-2063.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	153-1	MISSOURI	Yes

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

NPI Synchronization or Removal

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