Healthcare Provider Details

I. General information

NPI: 1689878589
Provider Name (Legal Business Name): RAPIDES HEALTHCARE SYSTEM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 WEST MAIN ST
VILLE PLATTE LA
70586
US

IV. Provider business mailing address

801 POINCIANA AVE
MAMOU LA
70554
US

V. Phone/Fax

Practice location:
  • Phone: 337-363-2471
  • Fax: 337-363-2489
Mailing address:
  • Phone: 337-457-9242
  • Fax: 337-457-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number009158
License Number StateLA

VIII. Authorized Official

Name: CRISTINA RIVERA
Title or Position: CEO
Credential:
Phone: 337-468-0355