Organization · Type 2 NPI
Renal Treatment Centers-Southeast, Lp.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Bogalusa, LA
NPI number
1104885243
Active
Practice location
2108 Avenue F
Bogalusa, LA 70427-5027
Fax (985) 735-1501
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 089 (LA) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1104885243
Renal Treatment Centers-Southeast, Lp.'s National Provider Identifier is 1104885243, issued on Mar 18, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Bogalusa, LA. The record was last updated on Oct 2, 2025.