River West, L.P.

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

399 Issued in LA

Legal business name

RIVER WEST, L.P.

Doing business as

River West Medical Center

Practice address

59355 River West Dr
Plaquemine, LA 70764-6553

Phone

(225) 687-9222

NPI assigned

Feb 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles J Fulner

Title

Senior VP, Licensure

Phone

(502) 253-0771

Specialties & licenses 1

Addresses

Other names 1

• River West Medical Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194796565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 50TH ST",
            "address_2": "SUITE 303",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122549",
            "telephone_number": "502-253-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59355 RIVER WEST DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646553",
            "telephone_number": "225-687-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER WEST, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FULNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR VP, LICENSURE",
        "authorized_official_telephone_number": "502-253-0771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "LA",
            "license": "399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River West Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome Richard Jr., PMHNP-BC
• River West Clinic Corp.
• River West Holdings LLC
• River West Home Care, LLC
• River West, L.P.
• River West, L.P.
• River West, L.P.
• Crystal Rivet, FNP-C
• Jerusha Robinson Tyler
• Kenidi Robinson

• Medicare Defined Swing Bed Hospital Unit in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Medicare Defined Swing Bed Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.