CHOUTEAU DIALYSIS LLC


Address: 739 E 20th St, Houston, TX 77008
Phone: 7138020542

CHOUTEAU DIALYSIS LLC (NPI# 1508268939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508268939
Entity Type Organization
Organization Name CHOUTEAU DIALYSIS LLC
Practice Address 739 E 20th St
Houston
TX 77008
Mailing Address 5200 Virginia Way
L & C Department
Brentwood
TN 37027-7569
Practice Telephone 7138020542
Practice Fax Number 7138020762
Mailing Telephone 6153204224
Mailing Fax Number 8002934707
Enumeration Date 2014-09-17
Last Update Date 2018-06-07
Authorized Official Name JAMES K HILGER (INTERIM CHIEF FINANCIAL OFFICER/CAO)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX STATE LICENSE 110296 01

Office Location

Street Address 739 E 20TH ST
City HOUSTON
State TX
Zip Code 77008

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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77008

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Dataset Information

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.

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