Riverside Podiatry Clinic, Inc.
LBN: Riverside Podiatry Clinic, Inc.
Riverside Podiatry Clinic, Inc. is an health care organization with primary practice located at 1900 W Kem Rd , Marion IN 46952-1548. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Riverside Podiatry Clinic, Inc. can be contacted via phone (765) 664-0107, or through Adsit, Gary Lynn via phone (765) 664-0107.
Contact Information
Primary practice address
1900 W Kem Rd
Marion IN 46952-1548
Phone: (765) 664-0107
Fax: (765) 664-6541
Website:
Authorized official contact:
Name: Adsit, Gary Lynn Doctor of Podiatric Medicine (DPM)
Phone: (765) 664-0107
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000307 | Indiana |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1780605055 |
|---|---|
| LBN Legal business name | Riverside Podiatry Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Adsit, Gary Lynn Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Jun 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780605055 | NPPES |
| Indiana | Other | DR6511 | RR MEDICARE |
| Indiana | Other | 000000083983 | RR MEDICARE |
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