SNG - ST. TAMMANY DIALYSIS CENTER LP – NPI #1174877138
Clinic/Center

SNG - ST. TAMMANY DIALYSIS CENTER LP is an AHC clinic located in MADISONVILLE, LA. NPPES has assigned the NPI number 1174877138 to SNG - ST. TAMMANY DIALYSIS CENTER LP on October 30, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 4 years ago on Jul 21, 2022. 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 SNG - ST. TAMMANY DIALYSIS CENTER LP below.

NPI Profile for
SNG - ST. TAMMANY DIALYSIS CENTER LP

NPI Number
1174877138
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SNG - ST. TAMMANY DIALYSIS CENTER LP
Primary location
397 HIGHWAY 21 STE 602
MADISONVILLE, LA 70447-3407
Phone: (985) 792-5334 Fax: (985) 792-5234
Mailing address
1000 W CANNON ST
FORT WORTH, TX 76104-3029
Phone: (817) 725-7900 Fax: (682) 207-1030
Organization Subpart
No
Authorized Official
KINAM MARTIN
CHIEF OPERATIONS OFFICER
Phone: (817) 725-7900
Updated
Identifiers

Identifiers for SNG - ST. TAMMANY DIALYSIS CENTER LP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFACILITY LICENSELA145
MEDICAIDLA1622486
Taxonomy Code(s)

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.