Organization
RICHWOOD RURAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A TENNANT SR. (PRESIDENT)
(318) 516-7737
Entity
Organization
Contact information
Practice address
5713 BON AIRE DR, MONROE, LA 71203-3226
(318) 537-2854
(318) 387-9308
Mailing address
5713 BON AIRE DR, P.O. BOX 1428, MONROE, LA 71203-3226
(318) 516-7737
(318) 387-9308
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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