Dialysis Clinic Inc. in Decatur - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1336172717
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Decatur, Georgia. 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 1336172717. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 558 Medlock Rd, Decatur, Georgia. You can contact this provider via phone number 4043710499 and fax number 4043711197. The mailing address for Dialysis Clinic Inc. is 558 Medlock Rd, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 558 Medlock Rd, Decatur, Georgia |
| Phone Number | 4043710499 |
| Fax Number | 4043711197 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1336172717 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 558 Medlock Rd |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301512 |
| Phone Number | 4043710499 |
| Fax Number | 4043711197 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | ESRD001003 |
|
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 |
|---|---|---|---|
| 00689224B | GA | -- | |
| 000689224A | GA | -- |
Post Comment/ Review Below
What is the Dialysis Clinic Inc.'s unique identification number?
The Dialysis Clinic Inc. has been assigned the NPI (National Provider Identifier) Number 1336172717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Dialysis Clinic Inc. located?
The Dialysis Clinic Inc. is located at 558 Medlock Rd, Decatur, GA 300301512.
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 the Dialysis Clinic Inc. receive the assignment of its 1336172717 from the Centers for Medicare & Medicaid Services?
The Dialysis Clinic Inc. was issued its 1336172717 by the Centers for Medicare & Medicaid Services on 2006-07-08.
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 2023-10-04.
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