NPIMap

Organization Active NPI

Richwood Rural Health Center

  • Primary Care Clinic/Center
  • Monroe, LA
National Provider Identifier
1376830869
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHWOOD RURAL HEALTH CENTER
Practice address
5713 Bon Aire Dr
Monroe, LA 71203-3226
Phone
(318) 537-2854
Fax
(318) 387-9308
NPI assigned
Jul 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Authorized official

Name
Mr. Mark A Tennant Sr.
Title
President
Phone
(318) 516-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5713 Bon Aire Dr
Monroe, LA 71203-3226

Mailing address

5713 Bon Aire Dr
P.O. Box 1428
Monroe, LA 71203-3226
Phone (318) 516-7737

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1376830869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 BON AIRE DR",
            "address_2": "P.O. BOX 1428",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033226",
            "telephone_number": "318-516-7737",
            "fax_number": "318-387-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 BON AIRE DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033226",
            "telephone_number": "318-537-2854",
            "fax_number": "318-387-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHWOOD RURAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "TENNANT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-516-7737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.