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General NPI Number Information
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NPI Number | 1003374711
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Entity Type | Organization
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Legal Business Name | RIVERVIEW SURGICAL CENTER LLC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 201 E 4TH STREET
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776
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Country | US
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Telephone | 712-224-3033
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Fax | 712-224-3037
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Provider Business Mailing Address
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Address Line | 201 E 4TH ST STE 100
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City | SOUTH SIOUX CITY
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State | NE
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Zip | 68776-9928
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Country | US
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Telephone | 402-412-2160
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Fax | 402-412-2100
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Authorized Official
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Title or Position | CEO
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Name | MATT NIEMEIER
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Credential |
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Telephone | 402-412-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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