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NPI 1427878909

NPI 1427878909 : RISE COMMUNITY HOSPITAL, LLC : PRAIRIEVILLE, LA

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General NPI Number Information
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    NPI Number           |    1427878909
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISE COMMUNITY HOSPITAL, LLC 
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Dates
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    Enumeration Date     |    10/10/2024
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    Last Update Date     |    10/11/2024
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Provider Practice Location Address
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    Address Line         |    37358 MARKET PLACE DR 
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    City                 |    PRAIRIEVILLE
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    State                |    LA
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    Zip                  |    70769-3482
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    Country              |    US
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    Telephone            |    512-948-1752
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    37358 MARKET PLACE DR 
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    City                 |    PRAIRIEVILLE
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    State                |    LA
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    Zip                  |    70769-3482
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    Country              |    US
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    Telephone            |    512-948-1752
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF PATIENT ACCESS
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    Name                 |     NICOLE  CAMPBELL 
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    Credential           |    
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    Telephone            |    512-948-1752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    
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