NPI | 1063837557 |
---|---|
Former Legal Business Name | RIVERSIDE MEDICAL CENTER, INC. |
Entity Type | Organization |
Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2014-02-20 |
Last Update Date | 2024-01-03 |