VACHERIE DIALYSIS CENTER, INC. (NPI# 1659309201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659309201 |
| Entity Type | Organization |
| Organization Name | VACHERIE DIALYSIS CENTER, INC. |
| Practice Address |
2504 Hwy. 20 Suite B Vacherie LA 70090 |
| Mailing Address |
4424 Conlin St Suite 2a Metairie LA 70006-2147 |
| Practice Telephone | 2252659030 |
| Practice Fax Number | 2252657070 |
| Mailing Telephone | 5047801422 |
| Mailing Fax Number | 5047801432 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | MR. MURAT HATIPOGLU (CEO) |
| Authorized Official Telephone | 5047801422 |
| 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 |
084 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD LA | 34655 | 01 |
| LA | 1681407 | 05 |
| Street Address |
2504 HWY. 20 SUITE B |
| City | VACHERIE |
| State | LA |
| Zip Code | 70090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730618315 | Arthur John Bosworth Iv | Case Manager/Care Coordinator | 2645 S Bank Ln, Vacherie, LA 70090 | 2017-06-07 |
| 1659735934 | Njaya Bethancourt | Counselor | 2140 Church St, Vacherie, LA 70090 | 2016-04-12 |
| 1780052340 | Emily Ann Earline Lassere | Specialist/Technologist | 19566 Lonnie Ln, Vacherie, LA 70090 | 2015-09-11 |
| 1912321225 | Theresa Jenkins | Physical Therapist | 22140 Hwy 20, Suite A, Vacherie, LA 70090 | 2014-02-06 |
| 1790906766 | Roland S Waguespack Md | Pharmacy | 1108 St James Street, Vacherie, LA 70090 | 2007-05-01 |
| 1134208002 | James J Stafford | Dentist | 2670 Hwy. 20, Vacherie, LA 70090 | 2006-11-03 |
| 1881708865 | Green Tree Pharmacies LLC | Pharmacy | 21430 La Highway 20, Vacherie, LA 70090 | 2006-08-18 |
| 1790729689 | Nephrology Associates | Specialist | 2504 Hwy 20 West, Vacherie, LA 70090 | 2006-06-15 |
| 1144284860 | Raja S Talluri | Internal Medicine | 22080 La Hwy 20, Vacherie, LA 70090 | 2006-04-12 |
| 1366419442 | Lydia W Norton | Pediatrics | St. Philip Clinic, 1108 St. James St., Vacherie, LA 70090 | 2006-03-07 |
| Find all providers in zip 70090 | ||||
| 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 |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1700404381 | Fresenius Medical Care Ouachita Home, LLC | Clinic/Center | 401 Thomas Rd Ste D, West Monroe, LA 71292-7902 | 2020-07-09 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1710457544 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 5820 Masonic Dr, Alexandria, LA 71301-2634 | 2018-12-05 |
| 1215407101 | Bio-medical Applications of Louisiana LLC | Clinic/Center | 634 Tunica Dr W, Marksville, LA 71351-2629 | 2018-12-04 |
| 1790263697 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 | 2018-08-02 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1629583281 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 2500 Louisiana Ave, New Orleans, LA 70115-6036 | 2017-12-05 |
| 1396255311 | Dialysis Clinic Inc | Clinic/Center | 2020 Bert Kouns Industrial Loop, Shreveport, LA 71118-3315 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VACHERIE DIALYSIS CENTER, 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.