Active NPI
Richland Hospital Service District #1-B
- General Acute Care Hospital
- Rayville, LA
National Provider Identifier
1356536775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 211
- Legal business name
- RICHLAND HOSPITAL SERVICE DISTRICT #1-B
- Practice address
- 254 Highway 3048
Rayville, LA 71269-3624 - Phone
- (318) 728-4181
- Fax
- (318) 728-8287
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kerry Goff
- Title
- Administrator
- Phone
- (318) 728-4181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 211 | LA | Primary |
Addresses
Primary practice location
254 Highway 3048
Rayville, LA 71269-3624
Mailing address
PO Box 388
Rayville, LA 71269-0388
Phone (318) 728-4181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04822 | Other | LA | BLUE CROSS |
Other names 1
- RICHARDSON MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041011000012 | LA | Part B Supplier - Clinic/Group Practice | 2163481599 |
Receives reassigned benefits from 68 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rayville, LA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- Rayville, LA
- NPI 1447445630
O20041011000012
-
- Psychiatric Hospital Unit
- Rayville, LA
- NPI 1235340142
O20041011000012
-
- General Acute Care Hospital
- Rayville, LA
- NPI 1255370144
O20041011000012
-
- General Acute Care Hospital
- Rayville, LA
- NPI 1497913016
O20041011000012
-
- Family Medicine Physician
- Rayville, LA
- NPI 1093367963
O20041011000012
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189382400000",
"number": "1356536775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712690388",
"telephone_number": "318-728-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 HIGHWAY 3048",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712693624",
"telephone_number": "318-728-4181",
"fax_number": "318-728-8287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHLAND HOSPITAL SERVICE DISTRICT #1-B",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A",
"authorized_official_last_name": "GOFF",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-728-4181",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "LA",
"license": "211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "04822",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RICHARDSON MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rayville, LA
- Richardson Medical Center School Based Health Clinic
- Glenn L. Richardson, PT
- Richland Homecare, L.L.C.
- Richland Hospital Service Distict #1-B
- Richland Hospital Service District #1-B
- Richland Medical Group, Inc.
- Richland Open MRI LLC
- Richland Parish Hospital Service District No 1-B
- Richland Parish Hospital Service District No 1-B
- Richland Parish Hospital Service District No 1-B
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.