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DIALYSIS CLINIC INC. NPI 1528164670


NPI Information

NPI: 1528164670
Provider Name: DIALYSIS CLINIC INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
745 OLIVE ST
SUITE 202
SHREVEPORT, LA
ZIP 71104
Phone: (318) 673-8250
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DIALYSIS CLINIC INC. is an end-stage renal disease (esrd) treatment clinic center in Shreveport, LA. DIALYSIS CLINIC INC. NPI is 1528164670. The provider is registered as an organization entity type.

The provider's business location address is:

745 OLIVE ST
SUITE 202
SHREVEPORT, LA
ZIP 71104-246
Phone: (318) 673-8250
Fax: (318) 673-8252

The provider's authorized official is Donovan Schultz .
The authorized official title is President and has the following contact phone number (615) 321-3061.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 10/4/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11362646MEDICAIDLOUISIANA

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: 4/28/2024

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