institution
Sng - St. Tammany Dialysis Center Lp
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Madisonville, Louisiana
NPI 1174877138

Sng - St. Tammany Dialysis Center Lp is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Fort Worth, LA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Sng - St. Tammany Dialysis Center Lp practices in Madisonville, LA. The NPI Number for Sng - St. Tammany Dialysis Center Lp is 1174877138 and holds a License No. (Louisiana).

The current practice location address for Sng - St. Tammany Dialysis Center Lp is 397 Highway 21 Ste 602, Madisonville, LA and can be reached out via phone at 985-792-5334 and via fax at 985-792-5234.

Location: 397 Highway 21 Ste 602, Madisonville, LA, 76104-3029
institution
Provider Profile Details
NPI Number
1174877138
Provider Name
Sng - St. Tammany Dialysis Center Lp
Credential
Provider Entity Type
Organization
Address
397 Highway 21 Ste 602, Madisonville, LA, 76104-3029
Phone Number
985-792-5334
Fax Number
985-792-5234
Provider Enumeration Date
10/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1622486 05 LA
145 01 LA FACILITY LICENSE
institution
Provider Business Practice Location Address Details
Address
397 Highway 21 Ste 602
City
State
Zip
70447-3407
Phone Number
985-792-5334
Fax Number
985-792-5234
person
Provider Business Mailing Address Details
Address
397 Highway 21 Ste 602
City
State
Zip
70447-3407
Phone Number
985-792-5334
Fax Number
985-792-5234
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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