Riverside Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

015223 Issued in LA

Legal business name

RIVERSIDE MEDICAL CENTER

Practice address

51704 Highway 438
Franklinton, LA 70438-7488

Phone

(985) 848-9955

Fax

(985) 848-9964

NPI assigned

Aug 4, 2017

Organization subpart

Yes

Parent organization

RIVERSIDE MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Peter Sullivan

Title

Ceo

Phone

(985) 795-4180

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thomas Community Health Center Doing business as

Tax ID family

Riverside Medical Cente8 organizations share this tax ID, including this one

Part of

Riverside Medical Cente

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Jerry a.Thomas M.D., L.L.C.

  • Primary Care Clinic/Center
  • Franklinton, LA
  • NPI 1023376183
  NPD tax ID
• Riverside Medical Center

  • Internal Medicine Physician
  • Franklinton, LA
  • NPI 1043365224
  NPD tax ID
• Riverside Medical Center

  • Family Medicine Physician
  • Franklinton, LA
  • NPI 1053145730
  NPD tax ID
• Riverside Medical Center

  • Clinic/Center
  • Franklinton, LA
  • NPI 1104290949
  NPD tax ID
• Riverside Medical Center

  • Rural Health Clinic/Center
  • Franklinton, LA
  • NPI 1578937371
  NPD tax ID
• Riverside Medical Center

  • Primary Care Clinic/Center
  • Franklinton, LA
  • NPI 1649693136
  NPD tax ID
• Riverside Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Franklinton, LA
  • NPI 1881756989
  NPD tax ID

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1699290239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383688",
            "telephone_number": "985-848-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51704 HIGHWAY 438",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704387488",
            "telephone_number": "985-848-9955",
            "fax_number": "985-848-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE MEDICAL CENTER",
        "enumeration_date": "2017-08-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-795-4180",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "015223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center
• Riverside Medical Center

• All providers in Franklinton, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.