Dialysis Clinic Inc. in Mexico - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1205869682
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Mexico, 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 1205869682. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 806 Medical Park Dr, Mexico, Missouri. You can contact this provider via phone number 5735812638 and fax number 5735814279. The mailing address for Dialysis Clinic Inc. is 806 Medical Park Dr, Mexico, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 806 Medical Park Dr, Mexico, Missouri |
| Phone Number | 5735812638 |
| Fax Number | 5735814279 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1205869682 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 806 Medical Park Dr |
|---|---|
| City | Mexico |
| State | Missouri (MO) |
| Post Code | 652653728 |
| Phone Number | 5735812638 |
| Fax Number | 5735814279 |
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 |
|---|---|---|---|
| 501565147 | MO | -- |
Post Comment/ Review Below
What is the Dialysis Clinic Inc.'s 1205869682?
The Dialysis Clinic Inc.'s NPI (National Provider Identifier) Number is 1205869682. This unique 10-digit identification number is assigned to health care providers 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: 806 Medical Park Dr, Mexico, MO, 652653728.
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.
When did the Dialysis Clinic Inc. receive its 1205869682?
The Dialysis Clinic Inc. was issued its 1205869682 on 2006-07-08, which is the date when the organization was assigned this unique identifier.
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.
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