Organization
RIVERSIDE HOSPITAL OF LOUISIANA, INC.
Active
Other names
Riverside Hospital of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE LESTER (GROUP PRESIDENT)
(318) 684-6050
Entity
Organization
Contact information
Practice address
13 HEYMAN LN, ALEXANDRIA, LA 71303-3574
(318) 767-2900
(318) 442-4505
Mailing address
1000 CHINABERRY DR STE 200, BOSSIER CITY, LA 71111-2443
(318) 684-6050
(318) 684-6051
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
—
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60554
BLUE CROSS
—
Enumeration date
03/31/2006
Last updated
10/03/2025
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