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Organization

RIVERSIDE SURGERY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAN MCEWEN (ADMINISTRATOR)
(530) 244-2273
Entity
Organization

Contact information

Practice address
2801 PARK MARINA DR, REDDING, CA 96001-2822
(530) 244-2273
(530) 244-2708
Mailing address
2801 PARK MARINA DR, REDDING, CA 96001-2822
(530) 244-2273
(530) 244-2708

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SUR01404F
CA
01
ZZZH4503Z
BLUE SHIELD
CA
Enumeration date
05/09/2006
Last updated
08/22/2020
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