ABITA SQUARE DIALYSIS, LLC – NPI #1710212873
Clinic/Center

ABITA SQUARE DIALYSIS, LLC is an AHC clinic located in MADISONVILLE, LA. NPPES has assigned the NPI number 1710212873 to ABITA SQUARE DIALYSIS, LLC on October 07, 2009. 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

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 ABITA SQUARE DIALYSIS, LLC below.

NPI Profile for
ABITA SQUARE DIALYSIS, LLC

NPI Number
1710212873
Enumeration Date

(more than 16 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
ABITA SQUARE DIALYSIS, LLC
Primary location
397 HIGHWAY 21
SUITE 601
MADISONVILLE, LA 70447-3407
Phone: (985) 845-9000 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN ANGELO
ADMINISTRATOR
Phone: (985) 845-9000
Updated
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)		 LA APPLYING FOR

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.