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Contact Information

RIVERSIDE HEALTH SERVICES LLC
1008 ARKANSAS STREET
ARKOMA, OK74901
 Phone: 918-875-3107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for RIVERSIDE HEALTH SERVICES LLC

NPI # 1942750823
LBN Legal business name RIVERSIDE HEALTH SERVICES LLC
Authorized official JOHN ROGERS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2016
Last updated 01/08/2026 - About 5 months ago
Identifiers
OK License # NH4003-4003
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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