NPI | 1831131796 |
---|---|
Former Legal Business Name | RIVERSIDE MEDICAL CENTER, INC. |
Entity Type | Organization |
Authorized Contact | WILLIAM FLETT CFO 920-454-4013 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: WI 3031) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2024-01-02 |