Colorado River Medical Center

LBN: Tristate Ambulatory Surgery Center
Colorado River Medical Center is an health care organization with primary practice located at 1401 Bailey Ave Building A, Needles CA 92363-3103. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty. Tristate Ambulatory Surgery Center can be contacted via phone (760) 326-7160, or through Lopez, Steve Kelley via phone (760) 326-7160.

Contact Information

Primary practice address
1401 Bailey Ave Building A Needles CA 92363-3103
Phone: (760) 326-7160
Fax: (760) 326-7292
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Steve Kelley
Phone: (760) 326-7160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X
Hospitals / Critical Access 282NC0060X 240000227 California

Profile Details

NPI number 1033587308
LBN Legal business name Tristate Ambulatory Surgery Center
DBA Doing business as Colorado River Medical Center
Authorized official Lopez, Steve Kelley
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2015
Last updated Sep 3rd, 2015 - about 11 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 1033587308 NPPES
California MEDICAID 240000227
California MEDICAID 330130

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