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MONROE JACKSON ST DIALYSIS
NPI 1962461038
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Monroe, LA

Active since March 18, 2006
309 JACKSON ST, MONROE, LA 71201(318) 327-4409(318) 323-9339 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Monroe Jackson St Dialysis NPPES

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

MONROE JACKSON ST DIALYSIS (NPI 1962461038) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Monroe, Louisiana and active in the NPI registry since March 2006. The organization lists Thomas O Usilton, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1962461038
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameDVA RENAL HEALTHCARE INC
Location Address309 JACKSON STMonroe, LA 71201-7407
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4218 · Fax (303) 209-7825
Phone(318) 327-4409
Fax(318) 323-9339
Organization SubpartNo
Authorized OfficialThomas O UsiltonGroup Vice President · (770) 541-7922
Enumeration DateMarch 18, 2006
Last NPPES UpdateAugust 14, 2007
✔ NPI 1962461038 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
License✔ Licensed in LA · 070
309 JACKSON ST, Monroe, LA 71201
Open in Google Maps ↗

Other Names 1

Doing Business AsMonroe Jackson St Dialysis

Other Identifiers 2

Medicaid1149594LA
Medicare OSCAR/certification192654

Other Providers at the Same Location NPPES 20

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

AMANDA RACHELLE SCHORR DO
Internal Medicine
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 235-9556
MRS. BROOKE S BECKLEY FNP-C
Nurse Practitioner (Family)
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 966-4000
ST FRANCIS MEDICAL CENTER, INC
Rehabilitation Unit
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 327-7141
HASNAN ARSHAD M.D.
Student in an Organized Health Care Education/Training Program
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (985) 502-6827
GHULAM MUJTABA MD
Hospitalist
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 966-4541
MAHER ZAHRA MD
Student in an Organized Health Care Education/Training Program
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 966-4147
DR. CHARLES UJAY GBADOUWEY MD
Internal Medicine (Pulmonary Disease)
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 966-4541
DIANNA GUNTHARP NNP
Nurse Practitioner (Neonatal)
309 JACKSON ST
MONROE, LA 71201
Ouachita Parish (318) 966-4159

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 DVA Renal Healthcare Inc's NPI number?

The NPI number for DVA Renal Healthcare Inc is 1962461038. It was assigned to this organization in the NPPES registry on March 18, 2006. The provider is doing business as Monroe Jackson St Dialysis.

Where is DVA Renal Healthcare Inc located?

DVA Renal Healthcare Inc is located at 309 Jackson St, Monroe, LA 71201. The listed phone number is (318) 327-4409.

What is DVA Renal Healthcare 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.

When was this NPI record last updated?

The NPPES record for DVA Renal Healthcare Inc was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.