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NPI Code Detail

MEDICARE: RIVER OAKS HOSPITAL LLC

MEDICARE: RIVER OAKS HOSPITAL LLC
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
1282N00000XGeneral Acute Care Hospital12297MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000020010OTHERMSBLUE CROSS

General Provider Information

NPI Number : 1396792032
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVER OAKS HOSPITAL LLC
Provider Business Mailing Address
First Line : 1030 RIVER OAKS DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9553
Country : US
Telephone Number : 601-936-2390
Fax Number : 601-936-2275
Provider Business Practice Location Address
First Line : 1030 RIVER OAKS DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9553
Country : US
Telephone Number : 601-936-2390
Fax Number : 601-936-2275
Authorized Official
Title or Position : DIRECTOR
Name : PAULA M LALOR
Credential :
Telephone Number : 629-215-3953
Provider Enumeration Date : 05/28/2006
Last Update Date : 04/21/2021

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Directions to “RIVER OAKS HOSPITAL LLC ” Practice Location

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