NPIMap

Organization Active NPI

Riverside Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Franklinton, LA
National Provider Identifier
1881756989
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
RIVERSIDE MEDICAL CENTER
Practice address
1900 Main St
Franklinton, LA 70438-3688
Phone
(985) 839-4431
Fax
(985) 839-0319
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Mr. Stacey K McGraw
Title
Business Office Director
Phone
(985) 795-4168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary
Critical Access Hospital 282NC0060X

Addresses

Primary practice location

1900 Main St
Franklinton, LA 70438-3688

Mailing address

1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-4431

Other names 1

  • Riverside Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080425000519 LA Part A Provider - Critical Access Hospital 3173430196 Practice locations: Franklintown, LA

Hospital certification: CCN 19Z313

Legal name
RIVERSIDE MEDICAL CENTER
Organization structure
OtherNon-profit
Incorporated
Apr 1, 1966 in LA
Enrollment address
1900 Main St
Franklintown, LA 70438-3688
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Riverside Medical Cente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Thomas Individual Corporate OfficerBoard of Commissioners Sep 1, 1995
Pamela Breland Individual Corporate OfficerBoard of Commissioners May 1, 2013
Malcolm Wascom Individual Corporate OfficerBoard of Commissioners Jan 1, 2021
Patricia Mizell Individual W-2 Managing EmployeeChief Financial Officer Sep 1, 2024 100%
Robin D Fabre Individual Corporate OfficerBoard of Commissioners Jul 31, 2023
Cynthia August Individual Corporate OfficerBoard of Commissioners Dec 31, 2017
Lori Schilling Individual Corporate OfficerBoard of Commissioners Feb 1, 2017
Tammy Magruder Individual Corporate OfficerBoard of Commissioners Nov 1, 2016
Randy Magee Individual Corporate OfficerBoard of Commissioners Jun 1, 2022
Grayson Ball Individual Corporate OfficerBoard of Commissioners Jan 1, 2023
Arthur E Westbrook Jr Individual Corporate OfficerBoard of Commissioners Jan 1, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Riverside Medical CenterFranklinton, LA, CCN 191313 Hospital 5% Or Greater Direct Ownership Interest Jul 2, 2004
Riverside Family Care ClinicFranklinton, LA, CCN 193441 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2000
Thomas Community Health CenterFranklinton, LA, CCN 198529 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 29, 2020

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1881756989",
    "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": "985-839-4431",
            "fax_number": "985-839-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383688",
            "telephone_number": "985-839-4431",
            "fax_number": "985-839-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "985-795-4168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklinton, LA

Sources for this page

Verify at the official NPI Registry.