Renal Treatment Centers-Southeast, Lp. in Bogalusa - End-stage Renal Disease (esrd) Treatment

Renal Treatment Centers-Southeast, Lp. - NPI 1104885243

Renal Treatment Centers-Southeast, Lp. is a End-stage Renal Disease (esrd) Treatment in Bogalusa, Louisiana. Renal Treatment Centers-Southeast, Lp. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Renal Treatment Centers-Southeast, Lp. is 1104885243. The last update date is 2023-06-07.

Renal Treatment Centers-Southeast, Lp.'s current location address is 2108 Avenue F, Bogalusa, Louisiana. You can contact this provider via phone number 9857357811 and fax number 9857351501. The mailing address for Renal Treatment Centers-Southeast, Lp. is 2108 Avenue F, Bogalusa, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Renal Treatment Centers-Southeast, Lp.
Address 2108 Avenue F, Bogalusa, Louisiana
Phone Number 9857357811
Fax Number 9857351501
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF ACCO
Authorized Official Name Winstel D John
Telephone Number 2537334501

NPI Number Detail

NPI Number 1104885243
Provider Enumeration Date 2006-03-18
Last Updated Date 2023-06-07

Provider Mailing Address Detail

Address 2108 Avenue F
City Bogalusa
State Louisiana (LA)
Post Code 704275027
Phone Number 9857357811
Fax Number 9857351501

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 89
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
1543276 LA --
6774703 MS --

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FAQs about Renal Treatment Centers-Southeast, Lp.

What is the Renal Treatment Centers-Southeast, Lp.'s 1104885243?

The Renal Treatment Centers-Southeast, Lp.'s NPI (National Provider Identifier) Number is 1104885243. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Renal Treatment Centers-Southeast, Lp. is located?

The Renal Treatment Centers-Southeast, Lp. is situated at the following address: 2108 Avenue F, Bogalusa, LA, 704275027.

What is the Renal Treatment Centers-Southeast, Lp.'s specialty and taxonomy code?

The Renal Treatment Centers-Southeast, Lp.'s specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

When did the Renal Treatment Centers-Southeast, Lp. receive its 1104885243?

The Renal Treatment Centers-Southeast, Lp. was issued its 1104885243 on 2006-03-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Renal Treatment Centers-Southeast, Lp. last refreshed?

The information related to the Renal Treatment Centers-Southeast, Lp., including its address, specialty, and other relevant details, was last updated on 2023-06-07.

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