Provider Demographics
NPI:1821974825
Name:RH EMERGENCY MEDICINE OF NATCHITOCHES LLC
Entity type:Organization
Organization Name:RH EMERGENCY MEDICINE OF NATCHITOCHES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENTERPRISE, CFO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WAKEFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-432-4106
Mailing Address - Street 1:PO BOX 7058
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38802-7058
Mailing Address - Country:US
Mailing Address - Phone:662-432-4106
Mailing Address - Fax:
Practice Address - Street 1:501 KEYSER AVE
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-6018
Practice Address - Country:US
Practice Address - Phone:318-414-5917
Practice Address - Fax:833-740-3625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty