Riverside Medical Center

LBN: Riverside Medical Center
Riverside Medical Center is an health care organization with primary practice located at 350 N Wall St , Kankakee IL 60901-2901. The organization recently has 3 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Riverside Medical Center can be contacted via phone (815) 935-7256, or through Douglas, Bill W via phone (815) 935-7256.

Contact Information

Primary practice address
350 N Wall St Kankakee IL 60901-2901
Phone: (815) 935-7256
Fax: (815) 935-7490
Website:
Map and Directions
Authorized official contact:
Name: Douglas, Bill W
Phone: (815) 935-7256

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0002014 Illinois
Hospital Units / Rehabilitation Unit 273Y00000X 0002014 Illinois
Hospitals / General Acute Care Hospital 282N00000X 0002014 Illinois

Profile Details

NPI number 1538208210
LBN Legal business name Riverside Medical Center
DBA Doing business as
Authorized official Douglas, Bill W
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Dec 18th, 2009 - about 16 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 1538208210 NPPES
North Dakota MEDICAID 01706
North Dakota MEDICAID 0240224
North Dakota MEDICAID 100508766
North Dakota MEDICAID 262438
North Dakota MEDICAID 301547
North Dakota MEDICAID 807562900
North Dakota MEDICAID 0029751
North Dakota MEDICAID 0585372
North Dakota MEDICAID 1400186
North Dakota MEDICAID 200012020A
North Dakota MEDICAID 404727815
North Dakota MEDICAID 410575300
North Dakota MEDICAID 5532100
North Dakota MEDICAID 000256935X
North Dakota MEDICAID 304727806
North Dakota Other 360
North Dakota MEDICAID 80489100
North Dakota MEDICAID N193210
North Dakota MEDICAID 01300193
North Dakota MEDICAID RIV0186N
North Dakota MEDICAID 010415909
North Dakota MEDICAID 0132100
North Dakota MEDICAID 100455080A
North Dakota Other 140156B000000
North Dakota Other 1826
North Dakota Other 366869400
North Dakota Other L006923
North Dakota MEDICAID 142381601
North Dakota Other 3977249
North Dakota Other 026741200
North Dakota MEDICAID 100038960A
North Dakota Other 131841
North Dakota MEDICAID 159332105
North Dakota MEDICAID 900587100

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