Riverside Service Group Inc
LBN: Riverside Service Group Inc
Riverside Service Group Inc is an health care organization with primary practice located at 461 River Pkwy , Idaho Falls ID 83402-3314. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Riverside Service Group Inc can be contacted via phone (208) 542-4517, or through Hansen, Kathleen Ann via phone (208) 521-6573.
Contact Information
Primary practice address
461 River Pkwy
Idaho Falls ID 83402-3314
Phone: (208) 542-4517
Fax: (208) 528-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 807612600 | Idaho |
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 805608500 | Idaho |
Profile Details
| NPI number | 1346390796 |
|---|---|
| LBN Legal business name | Riverside Service Group Inc |
| DBA Doing business as | |
| Authorized official | Hansen, Kathleen Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jun 25th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346390796 | NPPES |
| Idaho | MEDICAID | 805608500 | |
| Idaho | MEDICAID | 807612600 |
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