Active NPI
River View Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Twin Falls, ID
National Provider Identifier
1831636752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2126499 | River View Surgery Center LLC | Certificate of waiver | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.