Provider Demographics
NPI:1740411230
Name:RIVER OAKS MANAGEMENT COMPANY, LLC
Entity Type:Organization
Organization Name:RIVER OAKS MANAGEMENT COMPANY, LLC
Other - Org Name:CARE PLUS FAMILY MEDICINE PEAR ORCHARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, PROVIDER CREDENTIALING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-936-3121
Mailing Address - Street 1:2550 FLOWOOD DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9303
Mailing Address - Country:US
Mailing Address - Phone:601-936-3100
Mailing Address - Fax:601-936-3130
Practice Address - Street 1:731 S PEAR ORCHARD RD
Practice Address - Street 2:SUITE 15
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4800
Practice Address - Country:US
Practice Address - Phone:601-378-1774
Practice Address - Fax:601-978-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC02454Medicare PIN