Organization
RIVERBEND AMBULATORY SURGERY CENTER LLC
Active
Other names
Day Surgery at RiverBend
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY KOKKINO MD (PRESIDENT OF BOARD OF MANAGERS)
(720) 320-6577
Entity
Organization
Contact information
Practice address
3355 RIVERBEND DR, SUITE 110, SPRINGFIELD, OR 97477-8800
(541) 852-4824
(541) 242-5115
Mailing address
3355 RIVERBEND DR, SUITE 110, SPRINGFIELD, OR 97477-8800
(541) 852-4824
(541) 242-5115
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
IN PROCESS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601
STATE LICENSE
OR
Enumeration date
07/07/2008
Last updated
07/22/2009
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