Provider Demographics
NPI:1437302288
Name:ST FRANCIS RICHWOOD SCHOOL BASED HEALTH CENTER
Entity Type:Organization
Organization Name:ST FRANCIS RICHWOOD SCHOOL BASED HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-327-4000
Mailing Address - Street 1:PO BOX 1901
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71210-1901
Mailing Address - Country:US
Mailing Address - Phone:318-327-4000
Mailing Address - Fax:318-327-7359
Practice Address - Street 1:5901 HIGHWAY 165 BYP
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-7236
Practice Address - Country:US
Practice Address - Phone:318-327-4000
Practice Address - Fax:318-327-7359
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ST FRANCIS MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health