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 |