Provider Demographics
NPI:1003374711
Name:RIVERVIEW SURGICAL CENTER LLC
Entity Type:Organization
Organization Name:RIVERVIEW SURGICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-412-2160
Mailing Address - Street 1:201 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-9916
Mailing Address - Country:US
Mailing Address - Phone:402-412-2160
Mailing Address - Fax:402-412-2100
Practice Address - Street 1:201 E 4TH STREET
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776
Practice Address - Country:US
Practice Address - Phone:712-224-3033
Practice Address - Fax:712-224-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical