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 |
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Provider Enumeration Date | 2006-07-22 |
Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
Address | 512 Cypress St |
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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
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.
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