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NPI Code Detail

MEDICARE: RIVER OAKS HOSPITAL, INC.

MEDICARE: RIVER OAKS HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2207RI0200XInfectious Disease Physician
3208M00000XHospitalist Physician

General Provider Information

NPI Number : 1487662938
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER OAKS HOSPITAL, INC.
Provider Business Mailing Address
First Line : 130 SOUTHPOINTE DR # D
Second Line :
City : BYRAM
State : MS
Zip : 39272-5565
Country : US
Telephone Number : 601-346-5044
Fax Number : 601-346-5058
Provider Business Practice Location Address
First Line : 1030 RIVER OAKS DR
Second Line :
City : JACKSON
State : MS
Zip : 39232-9553
Country : US
Telephone Number : 601-346-5044
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : RONALD V JOHNSON
Credential :
Telephone Number : 60134655054
Provider Enumeration Date : 08/03/2006
Last Update Date : 09/11/2025

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Directions to “RIVER OAKS HOSPITAL, INC. ” Practice Location

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