Riverside Anesthesia Llc

LBN: Riverside Anesthesia Llc
Riverside Anesthesia Llc is an health care organization with primary practice located at 241 Aimee Rd , Ferriday LA 71334-9615. The organization recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as the primary health care specialty. Riverside Anesthesia Llc can be contacted via phone (318) 336-2220, or through Smith, Raymond R (Rusty) via phone (318) 336-2220.

Contact Information

Primary practice address
241 Aimee Rd Ferriday LA 71334-9615
Fax: (318) 336-6060
Website:
Authorized official contact:
Name: Smith, Raymond R (Rusty) Certified Registered Nurse Anesthetist (CRNA)

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X Louisiana

Profile Details

NPI number 1518918556
LBN Legal business name Riverside Anesthesia Llc
DBA Doing business as
Authorized official Smith, Raymond R (Rusty) Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Oct 4th, 2007 - 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 1518918556 NPPES
Mississippi MEDICAID 04321278
Mississippi MEDICAID 1447561

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