| Organization Name: | RIVERSIDE MEDICAL CENTER |
| NPI Number: | 1093189797 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE MAGEE (CHIEF EXECUTIVE OFFIER) |
| Mailing Address: | 1900 Main St Franklinton |
| State: | LA US |
| Postal Code: | 704383688 |
| Phone Number: | 9857954294 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |