Dialysis Clinic Inc. in Clinton - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1770502916
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Clinton, Missouri. 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 1770502916. The last update date is 2023-10-05.
Dialysis Clinic Inc.'s current location address is 1662 N 2nd St, Clinton, Missouri. You can contact this provider via phone number 6608900889 and fax number 6608900892. The mailing address for Dialysis Clinic Inc. is 1662 N 2nd St, Clinton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 1662 N 2nd St, Clinton, Missouri |
| Phone Number | 6608900889 |
| Fax Number | 6608900892 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1770502916 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 1662 N 2nd St |
|---|---|
| City | Clinton |
| State | Missouri (MO) |
| Post Code | 647351141 |
| Phone Number | 6608900889 |
| Fax Number | 6608900892 |
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 |
|---|---|---|---|
| 505850404 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dialysis Clinic Inc.?
The Dialysis Clinic Inc. has been issued the NPI (National Provider Identifier) 1770502916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is 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: 1662 N 2Nd St, Clinton, MO, 647351141.
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 originally issue the 1770502916 to Dialysis Clinic Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1770502916 to Dialysis Clinic Inc. on 2006-07-19.
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.