Dialysis Clinic Inc. in Freehold - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1962435347
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Freehold, New Jersey. 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 1962435347. The last update date is 2023-10-05.
Dialysis Clinic Inc.'s current location address is 901 W Main St, Freehold, New Jersey. You can contact this provider via phone number 7329404460 and fax number 7322945755. The mailing address for Dialysis Clinic Inc. is 901 W Main St, Freehold, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 901 W Main St, Freehold, New Jersey |
| Phone Number | 7329404460 |
| Fax Number | 7322945755 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1962435347 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 901 W Main St |
|---|---|
| City | Freehold |
| State | New Jersey (NJ) |
| Post Code | 77282537 |
| Phone Number | 7329404460 |
| Fax Number | 7322945755 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 22462 |
|
Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7893701 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier 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) 1962435347. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dialysis Clinic Inc.'s physical address?
The Dialysis Clinic Inc. is physically located at 901 W Main St, in the city of Freehold, NJ, with the postal code 77282537.
What is the Dialysis Clinic Inc.'s area of specialization and corresponding taxonomy classification?
The Dialysis Clinic Inc.'s specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1962435347 to Dialysis Clinic Inc.?
The Dialysis Clinic Inc. received its 1962435347 assignment from 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 2023-10-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY