Dialysis Clinic Inc. in Fort Oglethorpe - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1093748477
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Fort Oglethorpe, 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 1093748477. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 201 Thomas Rd, Fort Oglethorpe, Georgia. You can contact this provider via phone number 7068616668 and fax number 7068616088. The mailing address for Dialysis Clinic Inc. is 201 Thomas Rd, Fort Oglethorpe, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dialysis Clinic Inc. |
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Address | 201 Thomas Rd, Fort Oglethorpe, Georgia |
Phone Number | 7068616668 |
Fax Number | 7068616088 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Schultz Donovan |
Telephone Number | 6153273061 |
NPI Number Detail
NPI Number | 1093748477 |
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Provider Enumeration Date | 2006-07-08 |
Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
Address | 201 Thomas Rd |
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City | Fort Oglethorpe |
State | Georgia (GA) |
Post Code | 307423659 |
Phone Number | 7068616668 |
Fax Number | 7068616088 |
Provider's Primary Taxonomy Detail
Speciality | End-stage Renal Disease (esrd) Treatment |
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Taxonomy | 261Qe0700X |
Licence No | ESRD001075 |
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 |
---|---|---|---|
0000452537E | GA | -- | |
00452537E | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dialysis Clinic Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Dialysis Clinic Inc. has been assigned the NPI (National Provider Identifier) 1093748477. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Dialysis Clinic Inc. located?
The Dialysis Clinic Inc. is located at 201 Thomas Rd, Fort Oglethorpe, GA 307423659.
What is Dialysis Clinic Inc.'s area of expertise and its corresponding taxonomy classification?
The Dialysis Clinic Inc.'s field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1093748477 to Dialysis Clinic Inc.?
The Dialysis Clinic Inc. received its 1093748477 assignment from the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date were the details related to Dialysis Clinic Inc. most recently updated or revised?
The information pertaining to Dialysis Clinic Inc., including its address, specialty, and other relevant details, was last updated or revised on 2023-10-04.