Riverside Medical Center
Clinic/Center, Primary Care in Franklinton, LA. Organization (NPI-2).
NPI number1649693136
StatusActive
Last updated in NPPESFeb 4, 2014
Details
- NPI
- 1649693136
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Medical Center
- Organization subpart
- No
- Enumeration date
- Feb 4, 2014
- Last updated
- Feb 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | ap07653 | LA | Yes |
Practice location
1900 Main StFranklinton, LA 70438-3688
Phone 985-839-4431
Mailing address
1900 Main StFranklinton, LA 70438-3688
Authorized official
Kyle Magee
Ceo
9858394431
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