Monroe La Dialysis

LBN: Dva Renal Healthcare Inc
Monroe La Dialysis is an health care organization with primary practice located at 1701 Highway 165 S , Monroe LA 71202-8215. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Dva Renal Healthcare Inc can be contacted via phone (318) 651-7540, or through Usilton, Thomas O via phone (770) 541-7922.

Contact Information

Primary practice address
1701 Highway 165 S Monroe LA 71202-8215
Phone: (318) 651-7540
Fax: (318) 651-7543
Website:
Map and Directions
Authorized official contact:
Name: Usilton, Thomas O
Phone: (770) 541-7922

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 071 Louisiana

Profile Details

NPI number 1316906480
LBN Legal business name Dva Renal Healthcare Inc
DBA Doing business as Monroe La Dialysis
Authorized official Usilton, Thomas O
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2006
Last updated Jul 11th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316906480 NPPES
Louisiana MEDICAID 1102172

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