Riverside Pediatrics, Inc
LBN: Riverside Pediatrics, Inc
Riverside Pediatrics, Inc is an health care organization with primary practice located at 2873 S Ingram Ave , Sedalia MO 65301-8480. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Riverside Pediatrics, Inc can be contacted via phone (660) 826-0027, or through Ebrahimi, Ali Mansour via phone (660) 826-0027.
Contact Information
Primary practice address
2873 S Ingram Ave
Sedalia MO 65301-8480
Phone: (660) 826-0027
Fax: (660) 826-1494
Website:
Authorized official contact:
Name: Ebrahimi, Ali Mansour Doctor of Medicine (MD)
Phone: (660) 826-0027
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 101862 | Missouri |
Profile Details
| NPI number | 1790742971 |
|---|---|
| LBN Legal business name | Riverside Pediatrics, Inc |
| DBA Doing business as | |
| Authorized official | Ebrahimi, Ali Mansour Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790742971 | NPPES |
| Missouri | Other | 187630 | HEALTHLINK INSURANCE |
| Missouri | Other | 29832018 | HEALTHLINK INSURANCE |
| Missouri | Other | 1200288 | HEALTHLINK INSURANCE |
| Missouri | Other | 1922V3799 | HEALTHLINK INSURANCE |
| Missouri | Other | 101990 | HEALTHLINK INSURANCE |
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