Organization
RIVER WEST, L.P.
Active
Other names
River West Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES J FULNER (SENIOR VP, LICENSURE)
(502) 253-0771
Entity
Organization
Contact information
Practice address
59355 RIVER WEST DR, PLAQUEMINE, LA 70764-6553
(225) 687-9222
Mailing address
2424 50TH STREET, SUITE 303, LUBBOCK, TX 79412
(502) 253-0771
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760561
—
LA
Enumeration date
02/01/2006
Last updated
04/20/2008
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