| NPI | 1780782680 |
|---|---|
| Former Legal Business Name | RIVERSIDE MEDICAL CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 282NC0060X General Acute Care Hospital, Critical Access | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-04-12 |