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CAH191313-00 RIVERSIDE MEDICAL CENTER (Active)
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Main Details
Name
RIVERSIDE MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH191313-00
Medicare Provider Number
191313
Additional Details
Current Program Status
Active
Registration Date
9/13/2010
Participating Start Date
9/21/2010
Participating Approval Date
9/13/2010
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Riverside Medical Center
Jimmy Seibert, CEO
(985) 795-4148
Primary Contact
Riverside Medical Center
John Walter Seal, HR Director
(985) 795-4268
Addresses
Street Address
1900 MAIN STREET
FRANKLINTON, LA 70438-3688
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/16/11 CORRECTED ADDR (WAS 1900 MAIN STREET); 1/17/12 - Added NPI #
01/17/2012
2/16/11 CORRECTED ADDR (WAS 1900 MAIN STREET);
02/16/2011
April 2025
April 2025
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