# RIVERSIDE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverside Family Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518955541
- **Authorized official:** STACEY K MCGRAW (BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (985) 795-4168

## Contact information

- **Practice address:** 806B RIVERSIDE DR, FRANKLINTON, LA 70438-3603
- **Practice address phone:** (985) 839-3555
- **Practice address fax:** (985) 839-6320
- **Mailing address:** 806B RIVERSIDE DR, FRANKLINTON, LA 70438-3603
- **Mailing address phone:** (985) 839-3555
- **Mailing address fax:** (985) 839-6320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 09/19/2022