Dialysis Clinic Inc. in Sacramento - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1003849480
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Sacramento, 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 1003849480. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 1771 Stockton Blvd, Sacramento, California. You can contact this provider via phone number 9164530803 and fax number 9164531323. The mailing address for Dialysis Clinic Inc. is 1771 Stockton Blvd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 1771 Stockton Blvd, Sacramento, California |
| Phone Number | 9164530803 |
| Fax Number | 9164531323 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1003849480 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 1771 Stockton Blvd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958167040 |
| Phone Number | 9164530803 |
| Fax Number | 9164531323 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 110000456 |
|
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 |
|---|---|---|---|
| CDC02676F | CA | -- |
Post Comment/ Review Below
What is the Dialysis Clinic Inc.'s 1003849480?
The Dialysis Clinic Inc.'s NPI (National Provider Identifier) Number is 1003849480. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dialysis Clinic Inc.?
The Dialysis Clinic Inc. is situated at 1771 Stockton Blvd, in the city of Sacramento, state of CA, with the zip code 958167040.
What is Dialysis Clinic Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dialysis Clinic Inc.'s specialized field of practice is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of specialization is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003849480 to Dialysis Clinic Inc.?
The Centers for Medicare & Medicaid Services assigned the 1003849480 to Dialysis Clinic Inc. on 2006-07-08.
As of what date were the details pertaining to Dialysis Clinic Inc. last refreshed?
The information related to the Dialysis Clinic Inc., including its address, specialty, and other relevant details, was last updated on 2023-10-04.