Organization
RIVERSIDE MEDICAL CENTER
Active
Other names
Riverside Cardiology Clinic, Riverside Cardiology 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
806-A RIVERSIDE DRIVE, FRANKLINTON, LA 70438-3688
(985) 839-4431
(985) 795-0876
Mailing address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(985) 839-4431
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2490451
—
LA
Enumeration date
10/12/2018
Last updated
02/16/2024
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