Provider Demographics
NPI: | 1396856449 |
---|---|
Name: | OCHSNER MEDICAL CENTER-KENNER DIALYSIS |
Entity Type: | Organization |
Organization Name: | OCHSNER MEDICAL CENTER-KENNER DIALYSIS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | SCOTT |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | POSECAI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 504-842-4000 |
Mailing Address - Street 1: | 180 W ESPLANADE AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | KENNER |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 70065-2467 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 504-842-4000 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 180 W ESPLANADE AVE |
Practice Address - Street 2: | |
Practice Address - City: | KENNER |
Practice Address - State: | LA |
Practice Address - Zip Code: | 70065-2467 |
Practice Address - Country: | US |
Practice Address - Phone: | 504-842-4000 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-08-31 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2472R0900X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | Renal Dialysis | Group - Single Specialty |