Organization Active NPI

River View Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
National Provider Identifier
1831636752
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RIVER VIEW SURGERY CENTER, LLC
Practice address
1502 Locust St N Ste 100
Twin Falls, ID 83301-4163
Phone
(208) 933-2540
Fax
(208) 933-2541
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Richman
Title
Administrator
Phone
(208) 933-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1502 Locust St N Ste 100
Twin Falls, ID 83301-4163

Mailing address

1502 Locust St N
Twin Falls, ID 83301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170426001718 ID Part B Supplier - Ambulatory Surgical Center 7416234687 Receives reassigned benefits from 2 practitioners
Practice locations: Twin Falls, ID

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
River View Surgery CenterCCN 13C0001079
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2126499River View Surgery Center LLC1502 Locust St North Ste 100, Twin Falls, ID 83301Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1831636752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LOCUST ST N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LOCUST ST N STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014163",
            "telephone_number": "208-933-2540",
            "fax_number": "208-933-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VIEW SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-933-2540"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.