Provider Demographics
NPI:1194490169
Name:KASCADE HEALTHCARE LLC
Entity type:Organization
Organization Name:KASCADE HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARGREK
Authorized Official - Middle Name:S
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC, AGACNP
Authorized Official - Phone:318-625-7471
Mailing Address - Street 1:1305 METRO DR STE 5
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3444
Mailing Address - Country:US
Mailing Address - Phone:318-625-7471
Mailing Address - Fax:833-654-0722
Practice Address - Street 1:1305 METRO DR STE 5
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3444
Practice Address - Country:US
Practice Address - Phone:318-625-7471
Practice Address - Fax:833-654-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty