Provider Demographics
NPI:1407946122
Name:RIVER OAKS MANAGEMENT CO. INC.
Entity Type:Organization
Organization Name:RIVER OAKS MANAGEMENT CO. INC.
Other - Org Name:PREFERRED MEDICAL NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-346-5044
Mailing Address - Street 1:2500 FLOWOOD DRIVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9307
Mailing Address - Country:US
Mailing Address - Phone:601-932-1030
Mailing Address - Fax:601-420-6000
Practice Address - Street 1:2500 FLOWOOD DRIVE
Practice Address - Street 2:SUITE 402
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-1196
Practice Address - Country:US
Practice Address - Phone:601-936-3115
Practice Address - Fax:601-346-5058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC02454Medicare ID - Type Unspecified