Colorado River Medical Center
LBN: Tristate Ambulatory Surgery Center
Colorado River Medical Center is an health care organization with primary practice located at 1401 Bailey Ave Building A, Needles CA 92363-3103. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Hospitals / Critical Access. Hospitals / Critical Access is the primary health care specialty.
Tristate Ambulatory Surgery Center can be contacted via phone (760) 326-7160, or through Lopez, Steve Kelley via phone (760) 326-7160.
Contact Information
Primary practice address
1401 Bailey Ave Building A
Needles CA 92363-3103
Phone: (760) 326-7160
Fax: (760) 326-7292
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
Hospitals / Critical Access | 282NC0060X | 240000227 | California |
Profile Details
NPI number | 1033587308 |
---|---|
LBN Legal business name | Tristate Ambulatory Surgery Center |
DBA Doing business as | Colorado River Medical Center |
Authorized official | Lopez, Steve Kelley |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Sep 3rd, 2015 |
Last updated | Sep 3rd, 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 | 1033587308 | NPPES |
California | MEDICAID | 240000227 | |
California | MEDICAID | 330130 |
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