Organization
RIVERVIEW AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J BARNA MD (PRESIDENT/CEO)
(570) 331-2040
Entity
Organization
Contact information
Practice address
423 3RD AVE, SUITE D, KINGSTON, PA 18704
(570) 331-2040
(570) 331-2043
Mailing address
423 3RD AVE, SUITE D, KINGSTON, PA 18704
(570) 331-2040
(570) 331-2043
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11911500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11911500
DEPT OF HEALTH
PA
Enumeration date
09/01/2005
Last updated
08/22/2020
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