SOUTHERN KIDNEY SPECIALISTS - GRETNA LLC NPI 1194357459

NPI Information

NPI: 1194357459
Provider Name: SOUTHERN KIDNEY SPECIALISTS - GRETNA LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 19D2105972

Address:
959 BEHRMAN HWY
GRETNA, LA
ZIP 70056
Phone: (504) 391-1041
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SOUTHERN KIDNEY SPECIALISTS - GRETNA LLC is an end-stage renal disease (esrd) treatment clinic center in Gretna, LA. SOUTHERN KIDNEY SPECIALISTS - GRETNA LLC NPI is 1194357459. The provider is registered as an organization entity type.

The provider's business location address is:

959 BEHRMAN HWY
GRETNA, LA
ZIP 70056-550
Phone: (504) 391-1041

The provider's authorized official is Kimberly Fremin .
The authorized official title is Owner and has the following contact phone number (318) 564-4983.

The CLIA number assigned to this NPI record is 19D2105972 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2020 and was last updated on 2/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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