Organization Name: | RICHLAND MEDICAL GROUP, INC. |
NPI Number: | 1700844081 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG P. FOLSE (PRESIDENT) |
Mailing Address: | 254 Highway 3048 Rayville |
State: | LA US |
Postal Code: | 712693624 |
Phone Number: | 3188783367 |
Fax Number: | 3188788638 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |