Willis Knighton Medical Center, Inc. in Shreveport - End-stage Renal Disease (esrd) Treatment
Willis Knighton Medical Center, Inc. - NPI 1003020579
Willis Knighton Medical Center, Inc. is a End-stage Renal Disease (esrd) Treatment in Shreveport, Louisiana. Willis Knighton Medical Center, Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Willis Knighton Medical Center, Inc. is 1003020579. The last update date is 2017-02-17.
Willis Knighton Medical Center, Inc.'s current location address is 1111 Line Avenue, Shreveport, Louisiana. You can contact this provider via phone number 3182124759. The mailing address for Willis Knighton Medical Center, Inc. is 1111 Line Avenue, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willis Knighton Medical Center, Inc. |
|---|---|
| Address | 1111 Line Avenue, Shreveport, Louisiana |
| Phone Number | 3182124759 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Ward Jane Mary |
| Telephone Number | 3182124384 |
NPI Number Detail
| NPI Number | 1003020579 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2017-02-17 |
Provider Mailing Address Detail
| Address | 1111 Line Avenue |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 71101 |
| Phone Number | 3182124759 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the Willis Knighton Medical Center, Inc.'s unique identification number?
The Willis Knighton Medical Center, Inc. has been assigned the NPI (National Provider Identifier) Number 1003020579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Willis Knighton Medical Center, Inc.'s facilities are situated?
The facilities of Willis Knighton Medical Center, Inc. are physically located at the following address: 1111 Line Avenue, Shreveport, LA, 71101.
What is Willis Knighton Medical Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willis Knighton Medical Center, Inc.'s specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003020579 to Willis Knighton Medical Center, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1003020579 to Willis Knighton Medical Center, Inc. on 2007-05-10.
As of what date was the information regarding Willis Knighton Medical Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Willis Knighton Medical Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-17.