Riverside Ambulatory Surgery Center Llc

LBN: Riverside Ambulatory Surgery Center Llc
Riverside Ambulatory Surgery Center Llc is an health care organization with primary practice located at 560 Riverside Drive #A-101, Salisbury MD 21801-4700. 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 Ambulatory Surgery Center Llc can be contacted via phone (410) 749-0121, or through Thomas, Kevin via phone (410) 749-0121.

Contact Information

Primary practice address
560 Riverside Drive #A-101 Salisbury MD 21801-4700
Fax: (410) 749-6807
Website:
Authorized official contact:
Name: Thomas, Kevin Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X A1077 Maryland

Profile Details

NPI number 1356311419
LBN Legal business name Riverside Ambulatory Surgery Center Llc
DBA Doing business as
Authorized official Thomas, Kevin Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 20th, 2015 - about 9 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 1356311419 NPPES
Maryland Other 023T CAREFIRST
Maryland Other 320088 CAREFIRST
Maryland MEDICAID T78068100 CAREFIRST
Maryland Other NN1 CAREFIRST

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