Provider Demographics
NPI:1497913016
Name:RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Entity Type:Organization
Organization Name:RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Other - Org Name:RICHARDSON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:318-728-4181
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-0388
Mailing Address - Country:US
Mailing Address - Phone:318-728-4181
Mailing Address - Fax:318-728-8287
Practice Address - Street 1:254 HIGHWAY 3048
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269-3624
Practice Address - Country:US
Practice Address - Phone:318-728-4181
Practice Address - Fax:318-728-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA211282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1797146Medicaid