Organization
RIVERSIDE MEDICAL CENTER
Active
Parent organization
RIVERSIDE MEDICAL CENTER
Other names
Thomas Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE MEDICAL CENTER
Authorized official
MR. PETER SULLIVAN (CEO)
(985) 795-4180
Entity
Organization
Contact information
Practice address
51704 HIGHWAY 438, FRANKLINTON, LA 70438-7488
(985) 848-9955
(985) 848-9964
Mailing address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(985) 848-9955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015223
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314394
—
LA
Enumeration date
08/04/2017
Last updated
06/11/2019
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