Organization
RIVERSIDE MEDICAL CENTER
Active
Other names
Riverside Internal Medicine 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
709 RIVERSIDE DR., FRANKLINTON, LA 70438
(985) 795-4166
(985) 839-0289
Mailing address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(985) 795-4166
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432699
—
LA
Enumeration date
06/14/2016
Last updated
09/19/2022
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