Dialysis Clinic Inc. in Jacksonville - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1720011109
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Jacksonville, Florida. 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 1720011109. The last update date is 2023-10-05.
Dialysis Clinic Inc.'s current location address is 757 Union St W, Jacksonville, Florida. You can contact this provider via phone number 9043540409 and fax number 9043540416. The mailing address for Dialysis Clinic Inc. is 757 Union St W, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 757 Union St W, Jacksonville, Florida |
| Phone Number | 9043540409 |
| Fax Number | 9043540416 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1720011109 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 757 Union St W |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322024765 |
| Phone Number | 9043540409 |
| Fax Number | 9043540416 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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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 |
|---|---|---|---|
| 2103478-00 | FL | -- |
Post Comment/ Review Below
What is the unique 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) 1720011109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dialysis Clinic Inc.'s facilities are situated?
The facilities of Dialysis Clinic Inc. are physically located at the following address: 757 Union St W, Jacksonville, FL, 322024765.
What is the Dialysis Clinic Inc.'s specialty and taxonomy code?
The Dialysis Clinic Inc.'s specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
On what date did the Dialysis Clinic Inc. receive its 1720011109 assignment from the Centers for Medicare & Medicaid Services?
The Dialysis Clinic Inc. was assigned its 1720011109 by the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date was the information pertaining to Dialysis Clinic Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dialysis Clinic Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-10-05.