Riverside Park Surgicenter Llc

LBN: Riverside Park Surgicenter Llc
Riverside Park Surgicenter Llc is an health care organization with primary practice located at 2001 College St , Jacksonville FL 32204-3703. 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 Park Surgicenter Llc can be contacted via phone (904) 355-9800, or through Lemaistre, Collin via phone (904) 355-9800.

Contact Information

Primary practice address
2001 College St Jacksonville FL 32204-3703
Phone: (904) 355-9800
Fax: (904) 356-8680
Website:
Map and Directions
Authorized official contact:
Name: Lemaistre, Collin
Phone: (904) 355-9800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 80003681 Florida

Profile Details

NPI number 1881697522
LBN Legal business name Riverside Park Surgicenter Llc
DBA Doing business as
Authorized official Lemaistre, Collin
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2005
Last updated Jun 17th, 2022 - about 2 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 1881697522 NPPES
Florida Other 10C0001167 MEDICARE DMERC
Florida Other 17626 MEDICARE DMERC
Florida Other 62J MEDICARE DMERC
Florida Other 101679 MEDICARE DMERC
Florida MEDICAID 079102400 MEDICARE DMERC
Florida Other 490001993 MEDICARE DMERC
Florida Other 6800031 MEDICARE DMERC

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