Dialysis Clinic Inc. in Fort Bragg - End-stage Renal Disease (esrd) Treatment

Dialysis Clinic Inc. - NPI 1700807708

Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Fort Bragg, California. Dialysis Clinic Inc. practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Dialysis Clinic Inc. is 1700807708. The last update date is 2023-10-05.

Dialysis Clinic Inc.'s current location address is 512 Cypress St, Fort Bragg, California. You can contact this provider via phone number 7079641610 and fax number 7079641609. The mailing address for Dialysis Clinic Inc. is 512 Cypress St, Fort Bragg, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dialysis Clinic Inc.
Address 512 Cypress St, Fort Bragg, California
Phone Number 7079641610
Fax Number 7079641609
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Schultz Donovan
Telephone Number 6153273061

NPI Number Detail

NPI Number 1700807708
Provider Enumeration Date 2006-07-22
Last Updated Date 2023-10-05

Provider Mailing Address Detail

Address 512 Cypress St
City Fort Bragg
State California (CA)
Post Code 954375410
Phone Number 7079641610
Fax Number 7079641609

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CDC52566F CA --

Post Comment/ Review Below

FAQs about Dialysis Clinic Inc.

What is the unique 10-digit identifier code issued to Dialysis Clinic Inc. by the Centers for Medicare & Medicaid Services?

The Dialysis Clinic Inc. has been assigned the NPI (National Provider Identifier) 1700807708 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Dialysis Clinic Inc. is located?

The Dialysis Clinic Inc. is situated at the following address: 512 Cypress St, Fort Bragg, CA, 954375410.

What is Dialysis Clinic Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dialysis Clinic Inc. is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.

On what date did Dialysis Clinic Inc. receive its 1700807708 assignment from the Centers for Medicare & Medicaid Services?

The Dialysis Clinic Inc. was assigned its 1700807708 on 2006-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Dialysis Clinic Inc.'s details last updated?

The information pertaining to the Dialysis Clinic Inc., including its address, specialty, and other details, was most recently updated on 2023-10-05.

Other Providers of End-stage Renal Disease (esrd) Treatment
Grand Valley Surgical Center, Llc

NPI Number: 1417950395

Address: 2680 Leonard St Ne, Grand Rapids, MI

Wilkes Barre Asc., Lp

NPI Number: 1962405894

Address: 545 N River St, Wilkes Barre, PA

Altura Centers For Health

NPI Number: 1023011632

Address: 1201 N Cherry St, Tulare, CA

Southeast Texas Medical Associates, Llp

NPI Number: 1922001312

Address: 2929 Calder St, Beaumont, TX

Cerebral Palsy Association Of G.b.r., Inc.

NPI Number: 1144224031

Address: 1805 College Dr, Baton Rouge, LA

Shannon Gray

NPI Number: 1558365536

Address: 605 N Gilbert Rd, Mesa, AZ

Highland Clinic, A Prof Med Corp

NPI Number: 1053315846

Address: 1455 E Bert Kouns Loop, Shreveport, LA

The Woodlands Sports Medicine Centre, Pa

NPI Number: 1497759211

Address: 1441 Woodstead Ct, The Woodlands, TX

University Physicians & Surgeons, Inc

NPI Number: 1497759054

Address: 1600 Medical Center Dr, Huntington, WV

Proliance Surgeons, Inc., P.s.

NPI Number: 1891799490

Address: 7308 Bridgeport Way W Ste 201, Lakewood, WA

University Physicians & Surgeons, Inc.

NPI Number: 1689678237

Address: 1600 Medical Center Dr, Huntington, WV

University Physicians & Surgeons, Inc.

NPI Number: 1407850050

Address: 1600 Medical Center Dr, Huntington, WV

University Physicians & Surgeons, Inc.

NPI Number: 1205830858

Address: 1600 Medical Center Dr, Huntington, WV

University Physicians & Surgeons, Inc.

NPI Number: 1932103488

Address: 2828 1st Ave, Huntington, WV

University Physicians & Surgeons, Inc.

NPI Number: 1003810557

Address: 1616 13th Ave, Huntington, WV