# RIVER VALLEY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River Valley ASC, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821332370
- **Authorized official:** JENNIFER GALE (ADMINSTRATOR)
- **Authorized official phone:** (860) 859-9948

## Contact information

- **Practice address:** 45 SALEM TPKE, NORWICH, CT 06360-6533
- **Practice address phone:** (860) 859-9948
- **Mailing address:** 45 SALEM TPKE, NORWICH, CT 06360-6533
- **Mailing address phone:** (860) 859-9948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0000336 | CT | Yes |

## Other

- **Enumeration date:** 11/22/2012
- **Last updated:** 09/29/2021