River Park Asc Llc in Vidalia - Ambulatory Surgical
River Park Asc Llc - NPI 1144216847
River Park Asc Llc is a Ambulatory Surgical in Vidalia, Louisiana. River Park Asc Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for River Park Asc Llc is 1144216847. The last update date is 2012-02-16.
River Park Asc Llc's current location address is 107 Front St, Vidalia, Louisiana. You can contact this provider via phone number 3183362218. The mailing address for River Park Asc Llc is 107 Front St, Vidalia, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | River Park Asc Llc |
|---|---|
| Address | 107 Front St, Vidalia, Louisiana |
| Phone Number | 3183362218 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mcgraw Marci |
| Telephone Number | 3183362225 |
NPI Number Detail
| NPI Number | 1144216847 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2012-02-16 |
Provider Mailing Address Detail
| Address | 107 Front St |
|---|---|
| City | Vidalia |
| State | Louisiana (LA) |
| Post Code | 713732836 |
| Phone Number | 3183362218 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 128 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3027576 | MS | -- | |
| 190020258Z | LA | BLUE CROSS PROVIDER NUMBE | |
| 1464015 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to River Park Asc Llc?
The River Park Asc Llc has been issued the NPI (National Provider Identifier) 1144216847 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where River Park Asc Llc is physically located?
The River Park Asc Llc is situated at the following address: 107 Front St, Vidalia, LA 713732836.
What is River Park Asc Llc's area of expertise and its corresponding taxonomy classification?
The River Park Asc Llc's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
On what date did the River Park Asc Llc receive the assignment of its 1144216847 from the Centers for Medicare & Medicaid Services?
The River Park Asc Llc was issued its 1144216847 by the Centers for Medicare & Medicaid Services on 2005-09-27.
As of what date were the details related to River Park Asc Llc most recently updated or revised?
The information pertaining to River Park Asc Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-16.