Riverside Surgery Center, Llc

LBN: Riverside Surgery Center, Llc
Riverside Surgery Center, Llc is an health care organization with primary practice located at 420 Wilkinson Dr , Dyersburg TN 38024-2085. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Riverside Surgery Center, Llc can be contacted via phone (731) 285-2010, or through Warren, Shelley via phone (731) 285-2010.

Contact Information

Primary practice address
420 Wilkinson Dr Dyersburg TN 38024-2085
Phone: (731) 285-2010
Fax: (731) 285-5600
Website:
Map and Directions
Authorized official contact:
Name: Warren, Shelley
Phone: (731) 285-2010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 0000000087 Tennessee

Profile Details

NPI number 1396713202
LBN Legal business name Riverside Surgery Center, Llc
DBA Doing business as
Authorized official Warren, Shelley
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 22nd, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396713202 NPPES
Tennessee MEDICAID 3287901

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