Dialysis Clinic Inc. in Shreveport - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1679592810
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Shreveport, Louisiana. Dialysis Clinic Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Clinic Inc. is 1679592810. The last update date is 2023-10-05.
Dialysis Clinic Inc.'s current location address is 1515 N Hearne Ave, Shreveport, Louisiana. You can contact this provider via phone number 3182207012 and fax number 3182207013. The mailing address for Dialysis Clinic Inc. is 1515 N Hearne Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dialysis Clinic Inc. |
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Address | 1515 N Hearne Ave, Shreveport, Louisiana |
Phone Number | 3182207012 |
Fax Number | 3182207013 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Schultz Donovan |
Telephone Number | 6153273061 |
NPI Number Detail
NPI Number | 1679592810 |
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Provider Enumeration Date | 2006-07-19 |
Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
Address | 1515 N Hearne Ave |
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City | Shreveport |
State | Louisiana (LA) |
Post Code | 711077108 |
Phone Number | 3182207012 |
Fax Number | 3182207013 |
Provider's Primary Taxonomy Detail
Speciality | End-stage Renal Disease (esrd) Treatment |
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Taxonomy | 261Qe0700X |
Licence No | 140 |
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1627674 | LA | -- | |
HO4527918 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dialysis Clinic Inc.?
The Dialysis Clinic Inc. has been issued the NPI (National Provider Identifier) 1679592810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dialysis Clinic Inc.'s facilities are situated?
The facilities of Dialysis Clinic Inc. are physically located at the following address: 1515 N Hearne Ave, Shreveport, LA, 711077108.
What is Dialysis Clinic Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Dialysis Clinic Inc.'s area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
When did the Dialysis Clinic Inc. receive its 1679592810?
The Dialysis Clinic Inc. was issued its 1679592810 on 2006-07-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Dialysis Clinic Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dialysis Clinic Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-05.