institution
Riverside Ambulatory Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Hazelwood, Missouri
NPI 1366515504

Riverside Ambulatory Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Hazelwood, MO and is specialized in Ambulatory Surgical. Riverside Ambulatory Surgery Center, Llc practices in Hazelwood, MO. The NPI Number for Riverside Ambulatory Surgery Center, Llc is 1366515504 and holds a License No. (Missouri).

The current practice location address for Riverside Ambulatory Surgery Center, Llc is 100 Village Sq, Hazelwood, MO and can be reached out via phone at 314-373-8931 and via fax at 314-373-8935.

Location: 100 Village Sq, Hazelwood, MO, 63042-1820
institution
Provider Profile Details
NPI Number
1366515504
Provider Name
Riverside Ambulatory Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
100 Village Sq, Hazelwood, MO, 63042-1820
Phone Number
314-373-8931
Fax Number
314-373-8935
Provider Enumeration Date
11/16/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00240669 01 MO RAILROAD MEDICARE
192544 01 MO BLUE CROSS BLUE SHIELD
P00240669 01 MO RR MEDICARE
504453606 05 MO
institution
Provider Business Practice Location Address Details
Address
100 Village Sq
City
State
Zip
63042-1820
Phone Number
314-373-8931
Fax Number
314-373-8935
person
Provider Business Mailing Address Details
Address
100 Village Sq
City
State
Zip
63042-1820
Phone Number
314-373-8931
Fax Number
314-373-8935
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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