Organization
RIVERSIDE MEDICAL CENTER
Active
Other names
Riverside Family Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY K MCGRAW (BUSINESS OFFICE DIRECTOR)
(985) 795-4168
Entity
Organization
Contact information
Practice address
806B RIVERSIDE DR, FRANKLINTON, LA 70438-3603
(985) 839-3555
(985) 839-6320
Mailing address
806B RIVERSIDE DR, FRANKLINTON, LA 70438-3603
(985) 839-3555
(985) 839-6320
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440451
—
LA
Enumeration date
10/13/2005
Last updated
09/19/2022
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