RIVER PARK ASC LLC – NPI #1144216847
Clinic/Center

RIVER PARK ASC LLC is an AHC clinic located in VIDALIA, LA. NPPES has assigned the NPI number 1144216847 to RIVER PARK ASC LLC on September 27, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 14 years ago on Feb 16, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVER PARK ASC LLC below.

NPI Profile for
RIVER PARK ASC LLC

NPI Number
1144216847
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVER PARK ASC LLC
Primary location
107 FRONT ST
STE.1100
VIDALIA, LA 71373-2836
Phone: (318) 336-2218 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCI MCGRAW
CEO
Phone: (318) 336-2225
Updated
Identifiers

Identifiers for RIVER PARK ASC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS PROVIDER NUMBELA190020258Z
MEDICAIDLA1464015
MEDICAIDMS03027576
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 LA 128

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.