Red River Sleep Center, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

RED RIVER SLEEP CENTER, INC

Practice address

223 Windermere Blvd
Alexandria, LA 71303-3538

Phone

(318) 443-1684

Fax

(318) 427-3303

NPI assigned

Oct 25, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rodney Penner, LPN, RPSGT, LPSGT

Title

Director of Operations

Phone

(318) 443-1684

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

Red River Sleep Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Red River Sleep Center, Inc

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, LA
  • NPI 1790866960
  NPD tax ID
• Red River Sleep Center, Inc

  • Sleep Specialist (PhD)
  • Alexandria, LA
  • NPI 1932361615
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Guillory, M.D.

  • Otolaryngology Physician
  • Alexandria, LA
  • NPI 1114918281
  Medicare reassignment Care Compare group NPD
• Renick P Webb, M.D.

  • Otolaryngology Physician
  • Alexandria, LA
  • NPI 1437149085
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1366432916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-1984",
            "fax_number": "318-443-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-443-1684",
            "fax_number": "318-427-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER SLEEP CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "318-443-1684",
        "authorized_official_credential": "LPN, RPSGT, LPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442542",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red River Cardiac Imaging, LLC
• Red River Cardiology, LLC
• Red River Dental LLC
• Red River Dermatology
• Red River Pharmacy Div. of Rapides Regional Medical Center
• Red River Sleep Center, Inc
• Red River Sleep Center, Inc
• Samantha Morris Redfield, M.D.
• Michael A Redmond, MD
• Patrick Redmond, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Sleep Disorder Diagnostic Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.