Healthcare Provider Details

I. General information

NPI: 1255370144
Provider Name (Legal Business Name): RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

254 HIGHWAY 3048
RAYVILLE LA
71269-3624
US

IV. Provider business mailing address

PO BOX 388 254 HWY 3048
RAYVILLE LA
71269-0388
US

V. Phone/Fax

Practice location:
  • Phone: 318-728-4181
  • Fax: 318-728-8293
Mailing address:
  • Phone: 318-728-4181
  • Fax: 318-728-8293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number211
License Number StateLA

VIII. Authorized Official

Name: MRS. JOANNA J PIERCE
Title or Position: DIRECTOR UTILIZATION
Credential: R.N.
Phone: 318-728-8314