DIALYSIS CLINIC INC (NPI# 1396255311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396255311 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC |
| Practice Address |
2020 Bert Kouns Industrial Loop Shreveport LA 71118-3315 |
| Mailing Address |
1322 Kings Hwy Shreveport LA 71103-4225 |
| Practice Telephone | 3186834475 |
| Practice Fax Number | 3186834476 |
| Mailing Telephone | 3182261020 |
| Mailing Fax Number | 3184241179 |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | WILLIAM E. WOOD II (PRESIDENT) |
| Authorized Official Telephone | 6153273061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
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|---|---|---|---|---|
| 1407479124 | Dialysis Clinic Inc | Clinic/Center | 1603 Carmody Ct Ste 103, Sewickley, PA 15143-8859 | 2020-05-28 |
| 1215562293 | Dialysis Clinic Inc | Clinic/Center | 1219 S. Martin Luther King Blvd., Americuse, GA 31719 | 2020-03-10 |
| 1871128173 | Dialysis Clinic Inc | Clinic/Center | 1955 36th St, Sacramento, CA 95816-6634 | 2020-03-06 |
| 1417581810 | Dialysis Clinic Inc | Clinic/Center | 1400 Ne Waldo Rd, Gainesville, FL 32641-4689 | 2020-02-25 |
| 1053964569 | Dialysis Clinic Inc | Case Management | 300 Cahaba Park Cir Ste 208, Birmingham, AL 35242-5043 | 2019-07-23 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
| 1740798073 | Dialysis Clinic Inc | Clinic/Center | 173 Patty Hill Road, Caryville, TN 37714 | 2018-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | DIALYSIS CLINIC INC | 1633 Church St., Ste 500, Nashville, TN 37203 |
| Street Address |
2020 BERT KOUNS INDUSTRIAL LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992035232 | Total Renal Care Inc | Clinic/Center | 9205 Linwood Ave, Shreveport, LA 71106-7006 | 2010-01-08 |
| 1033380589 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 2240 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5358 | 2008-03-12 |
| 1215121330 | Total Renal Care Inc | Clinic/Center | 1815 E 70th St, Shreveport, LA 71105-5301 | 2007-08-31 |
| 1700988185 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 410 Ashley Ridge Blvd, Shreveport, LA 71106-7228 | 2006-09-05 |
| 1760594527 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 990 Aero Dr, Shreveport, LA 71107-7106 | 2006-08-31 |
| 1336251164 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 4338 Pines Rd, Shreveport, LA 71119-7738 | 2006-08-31 |
| 1427160274 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1130 Kings Hwy, Shreveport, LA 71104-2934 | 2006-08-31 |
| 1245342005 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 9076 Kingston Rd, Shreveport, LA 71118-3416 | 2006-08-31 |
| 1164534913 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 3949 Southern Ave, Shreveport, LA 71106-1035 | 2006-08-31 |
| 1679592810 | Dialysis Clinic Inc. | Clinic/Center | 1515 N Hearne Ave, Shreveport, LA 71107-7108 | 2006-07-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on DIALYSIS CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.