Dialysis Clinic Inc. in Moberly - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1215960604
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Moberly, 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 1215960604. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 1511 Union Ave, Moberly, Missouri. You can contact this provider via phone number 6602631611 and fax number 6602632478. The mailing address for Dialysis Clinic Inc. is 1511 Union Ave, Moberly, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 1511 Union Ave, Moberly, Missouri |
| Phone Number | 6602631611 |
| Fax Number | 6602632478 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1215960604 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 1511 Union Ave |
|---|---|
| City | Moberly |
| State | Missouri (MO) |
| Post Code | 652709407 |
| Phone Number | 6602631611 |
| Fax Number | 6602632478 |
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 |
|---|---|---|---|
| 504684002 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1215960604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Dialysis Clinic Inc.?
The Dialysis Clinic Inc. is situated at 1511 Union Ave, in the city of Moberly, state of MO, with the zip code 652709407.
What is Dialysis Clinic Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dialysis Clinic Inc. is End-stage Renal Disease (esrd) Treatment, and the taxonomy code that classifies this field of practice is 261Qe0700X.
On what date did the Dialysis Clinic Inc. receive its 1215960604 assignment from the Centers for Medicare & Medicaid Services?
The Dialysis Clinic Inc. was assigned its 1215960604 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.