LAKE CHARLES SOUTH DIALYSIS
NPI 1750340816
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lake Charles, LA

NPI Status: Active since March 18, 2006

Contact Information

4015 COMMON ST
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 562-2022
Fax: (337) 562-2555

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About LAKE CHARLES SOUTH DIALYSIS

This page provides the complete NPI Profile along with additional information for Lake Charles South Dialysis, a provider established in Lake Charles, Louisiana operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1750340816 assigned on March 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 091 (LA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Lake Charles South Dialysis. The authorized official of this NPI record is Thomas O Usilton Jr. (Group Vice President)

NPI
1750340816
Provider Legal Name
DVA RENAL HEALTHCARE INC
Other Organization Name
LAKE CHARLES SOUTH DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4015 COMMON ST LAKE CHARLES, LA 70607
Location Phone
(337) 562-2022
Location Fax
(337) 562-2555
Mailing Address
5200 VIRGINIA WAY STE 400 L&C BRENTWOOD, TN 37027
Mailing Phone
(615) 320-4218
Mailing Fax
(337) 562-2555
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2006
Last Update Date
07-11-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
091
License State
LA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS O USILTON JR.

Authorized Official Title
GROUP VICE PRESIDENT
Authorized Official Phone
(770) 541-7922

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
192634MEDICARE OSCAR/CERTIFICATION (06) 
1102199MEDICAID (05)LA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750340816
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710064082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 4 + 0 + 8 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750340816 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750609384AMEDISYS LOUISIANA, LLC
Organization
Home Health4015 COMMON ST
LAKE CHARLES, LA 70607
(337) 477-9820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750340816, enumerated in the NPI registry as an "organization" on March 18, 2006

The provider is located at 4015 Common St Lake Charles, La 70607 and the phone number is (337) 562-2022

This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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