DIALYSIS CLINIC INC. (NPI# 1679592810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679592810 |
| Entity Type | Organization |
| Organization Name | DIALYSIS CLINIC INC. |
| Practice Address |
1515 N Hearne Ave Shreveport LA 71107-7108 |
| Mailing Address |
1515 N Hearne Ave 1515 North Hearne Shreveport LA 71107-7108 |
| Practice Telephone | 3182207012 |
| Practice Fax Number | 3182207013 |
| Mailing Telephone | 3182207012 |
| Mailing Fax Number | 3182207013 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MR. 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 |
140 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1627674 | 05 | |
| TX | HO4527918 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1922346147 | Dialysis Clinic Inc. | Clinic/Center | 2800 W 10th St, Suite 510, Little Rock, AR 72204-2206 | 2013-01-23 |
| 1477807139 | Dialysis Clinic Inc. | Clinic/Center | 1545 Meadowview Rd, Suites 130 - 180, Sacramento, CA 95832-1081 | 2012-11-02 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1174811657 | Dialysis Clinic Inc. | Clinic/Center | 176 Washington Avenue Ext, Suite 100, Albany, NY 12203-5300 | 2011-07-18 |
| 1437445293 | Dialysis Clinic Inc. | Clinic/Center | 5300 Archdale Blvd, North Charleston, SC 29418-3343 | 2011-06-21 |
| 1336443282 | Dialysis Clinic Inc. | Clinic/Center | 275 South Orchard, Ukiah, CA 95482-5016 | 2011-01-07 |
| 1518271790 | Dialysis Clinic Inc. | Clinic/Center | 822 Wild Ave., Evergreen, AL 36401-2545 | 2010-07-30 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| Street Address |
1515 N HEARNE AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| 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 |
|---|---|---|---|---|
| 1396255311 | Dialysis Clinic Inc | Clinic/Center | 2020 Bert Kouns Industrial Loop, Shreveport, LA 71118-3315 | 2017-10-04 |
| 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 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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.