Riverside Ambulatory Surgery Center, Llc in Hazelwood - Ambulatory Surgical
Riverside Ambulatory Surgery Center, Llc - NPI 1366515504
Riverside Ambulatory Surgery Center, Llc is a Ambulatory Surgical in Hazelwood, Missouri. Riverside Ambulatory Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Riverside Ambulatory Surgery Center, Llc is 1366515504. The last update date is 2016-06-03.
Riverside Ambulatory Surgery Center, Llc's current location address is 100 Village Sq, Hazelwood, Missouri. You can contact this provider via phone number 3143738931 and fax number 3143738935. The mailing address for Riverside Ambulatory Surgery Center, Llc is 100 Village Sq, Hazelwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Riverside Ambulatory Surgery Center, Llc |
|---|---|
| Address | 100 Village Sq, Hazelwood, Missouri |
| Phone Number | 3143738931 |
| Fax Number | 3143738935 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICARE A |
|---|---|
| Authorized Official Name | Moran D Jenetha |
| Telephone Number | 9727633893 |
NPI Number Detail
| NPI Number | 1366515504 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2016-06-03 |
Provider Mailing Address Detail
| Address | 100 Village Sq |
|---|---|
| City | Hazelwood |
| State | Missouri (MO) |
| Post Code | 630421820 |
| Phone Number | 3143738931 |
| Fax Number | 3143738935 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00240669 | MO | RAILROAD MEDICARE | |
| 192544 | MO | BLUE CROSS BLUE SHIELD | |
| 504453606 | MO | -- | |
| P00240669 | MO | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Riverside Ambulatory Surgery Center, Llc by the Centers for Medicare & Medicaid Services?
The Riverside Ambulatory Surgery Center, Llc has been issued the NPI (National Provider Identifier) 1366515504 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Riverside Ambulatory Surgery Center, Llc's facilities are situated?
The facilities of Riverside Ambulatory Surgery Center, Llc are physically located at the following address: 100 Village Sq, Hazelwood, MO, 630421820.
What is the Riverside Ambulatory Surgery Center, Llc's specialty and taxonomy code?
The Riverside Ambulatory Surgery Center, Llc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366515504 to Riverside Ambulatory Surgery Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1366515504 to Riverside Ambulatory Surgery Center, Llc on 2006-11-16.
As of what date was the information pertaining to Riverside Ambulatory Surgery Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Riverside Ambulatory Surgery Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-06-03.