RA
RIVERSIDE AMBULATORY SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
HAZELWOOD, MO
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1366515504
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients377
RevalidationDue 2024-10-31
Authorized official
NameCHRISTOPHER HARTSHORN
TitleMEDICARE AUTHORIZED OFFICIAL
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