Organization
RIVER RIDGE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH LEBLANC SR. (CEO)
(504) 846-3150
Entity
Organization
Contact information
Practice address
9605 JEFFERSON HWY, RIVER RIDGE, LA 70123-2550
(504) 739-9494
(504) 739-9495
Mailing address
3510 N CAUSEWAY BLVD, SUITE 110, METAIRIE, LA 70002-3531
(504) 831-3112
(504) 831-3778
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2352172
—
LA
01
—
269201
MEDICARE ID
LA
Enumeration date
11/20/2012
Last updated
01/20/2016
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