WK RENAL DIALYSIS – NPI #1003020579
Clinic/Center
WK RENAL DIALYSIS is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1003020579 to WK RENAL DIALYSIS on May 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WK RENAL DIALYSIS” is a dba name, the actual legal business name for this organization is WILLIS KNIGHTON MEDICAL CENTER, INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment
The NPI profile was last updated on Jan 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WK RENAL DIALYSIS below.
NPI Profile for
WILLIS KNIGHTON MEDICAL CENTER, INC.
(more than 19 years ago)
SHREVEPORT, LA 71101 Phone: (318) 212-4759 Fax:
SHREVEPORT, LA 71103-3908 Phone: Fax:
CFO
Phone: (318) 212-4384
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QE0700X - Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.