Organization
RICHLAND HOSPITAL SERVICE DISTRICT #1-B
Active
Other names
RICHARDSON MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY GOFF (ADMINISTRATOR)
(318) 728-4181
Entity
Organization
Contact information
Practice address
254 HIGHWAY 3048, RAYVILLE, LA 71269-3624
(318) 728-4181
(318) 728-8287
Mailing address
PO BOX 388, RAYVILLE, LA 71269-0388
(318) 728-4181
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
211
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04822
BLUE CROSS
LA
Enumeration date
09/10/2007
Last updated
09/10/2007
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