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Organization
RIVERPARK COMMUNITY CATH LAB, LLC
Active
Organization
RIVERPARK COMMUNITY CATH LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WHITTEMORE (CHIEF FINACIAL OFFICER)
(601) 445-6203
Entity
Organization
Contact information
Practice address
107 FRONT ST, VIDALIA, LA 71373-2836
(601) 445-1703
(601) 445-6726
Mailing address
PO BOX 35, 107 FRONT ST., VIDALIA, LA 71373-0035
(601) 445-1703
(601) 445-6726
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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