WK RENAL DIALYSIS
NPI 1003020579
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Shreveport, LA
About Wk Renal Dialysis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WK RENAL DIALYSIS (NPI 1003020579) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Shreveport, Louisiana and active in the NPI registry since May 2007. The organization lists Mary Jane Ward, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Dialysis Facility Quality Ratings CMS Care Compare
Quality ratings, services and patient survey results for Willis Knighton Med Ctr-Dialysis (CMS certification number 192308), from CMS Care Compare.
Willis Knighton Med Ctr-Dialysis
Dialysis facility · Shreveport, LAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Willis Knighton Medical Center, Inc.'s NPI number?
The NPI number for Willis Knighton Medical Center, Inc. is 1003020579. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Wk Renal Dialysis.
Where is Willis Knighton Medical Center, Inc. located?
Willis Knighton Medical Center, Inc. is located at 1111 Line Avenue, Shreveport, LA 71101. The listed phone number is (318) 212-4759.
What is Willis Knighton Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Is Willis Knighton Medical Center, Inc. a Medicare-certified dialysis facility?
Yes. Willis Knighton Med Ctr-Dialysis is a Medicare-certified dialysis facility, certified since June 12, 1989.
What quality rating does Willis Knighton Medical Center, Inc. have?
CMS rates Willis Knighton Med Ctr-Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.
When was this NPI record last updated?
The NPPES record for Willis Knighton Medical Center, Inc. was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wk Renal Dialysis · NPI 1003020579
End-Stage Renal Disease (ESRD) Treatment organization in Shreveport, Louisiana. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1003020579 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** Willis Knighton Medical Center, Inc.
- **Organization subpart:** No
- **Authorized official:** Mary Ward, CFO
## Practice location
- **Address:** 1111 LINE AVENUE, Shreveport, LA 71101
- **Phone:** (318) 212-4759
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003020579) · Data from the CMS NPPES public registry.