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PRAIRIEVILLE DIALYSIS
NPI 1043676802
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Prairieville, LA

Active since January 11, 2016
17123 COMMERCE CENTRE DR, PRAIRIEVILLE, LA 70769(225) 877-2001(225) 877-2002 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 14, 2022, Jul 12, 2022, Dec 29, 2020 and 2 more (5 updates tracked since 2016).

About Prairieville Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIEVILLE DIALYSIS (NPI 1043676802) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Prairieville, Louisiana and active in the NPI registry since January 2016. The organization lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1043676802
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameSOUTHWOOD PARK DIALYSIS LLC
Location Address17123 COMMERCE CENTRE DRPrairieville, LA 70769-3481
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 997-4210 · Fax (866) 935-5481
Phone(225) 877-2001
Fax(225) 877-2002
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateJanuary 11, 2016
Last NPPES UpdateSeptember 14, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
✔ NPI 1043676802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
17123 COMMERCE CENTRE DR, Prairieville, LA 70769
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Other Names 1

Doing Business AsPrairieville Dialysis

Other Identifiers 1

Medicaid2468367LA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANEEKA A. CHASTANG NP
Nurse Practitioner
17123 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 605-0534
CENTERWELL SENIOR PRIMARY CARE (LA) PC
Internal Medicine
17123 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (407) 447-7120
ALLISON DEE PARKMAN MD
Family Medicine
17123 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 605-0534
DR. REGINALD J. ROSS M.D.
Internal Medicine
17123 COMMERCE CENTRE DR
PRAIRIEVILLE, LA 70769
Ascension Parish (225) 605-0534

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 Southwood Park Dialysis LLC's NPI number?

The NPI number for Southwood Park Dialysis LLC is 1043676802. It was assigned to this organization in the NPPES registry on January 11, 2016. The provider is doing business as Prairieville Dialysis.

Where is Southwood Park Dialysis LLC located?

Southwood Park Dialysis LLC is located at 17123 Commerce Centre Dr, Prairieville, LA 70769. The listed phone number is (225) 877-2001.

What is Southwood Park Dialysis LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Southwood Park Dialysis LLC was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.