Dialysis Clinic Inc. in Chattanooga - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1740213123
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Chattanooga, Tennessee. 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 1740213123. The last update date is 2023-10-05.
Dialysis Clinic Inc.'s current location address is 3555 Broad St, Chattanooga, Tennessee. You can contact this provider via phone number 4237568808 and fax number 4237564397. The mailing address for Dialysis Clinic Inc. is 3555 Broad St, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 3555 Broad St, Chattanooga, Tennessee |
| Phone Number | 4237568808 |
| Fax Number | 4237564397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1740213123 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-05 |
Provider Mailing Address Detail
| Address | 3555 Broad St |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374091028 |
| Phone Number | 4237568808 |
| Fax Number | 4237564397 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 47 |
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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 |
|---|---|---|---|
| 0000452537A | GA | -- | |
| 00482457A | GA | -- | |
| 044-2555 | TN | -- | |
| TN0112 | IL | -- |
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What is the unique 10-digit 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) 1740213123 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Dialysis Clinic Inc. located?
The Dialysis Clinic Inc. is located at 3555 Broad St, Chattanooga, TN 374091028.
What is the Dialysis Clinic Inc.'s specialty and taxonomy code?
The Dialysis Clinic Inc.'s specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.
When was the Dialysis Clinic Inc.'s 1740213123 issued?
The Dialysis Clinic Inc.'s 1740213123 was issued on 2006-07-08.
When was the Dialysis Clinic Inc.'s information last updated?
The Dialysis Clinic Inc.'s information was last updated on 2023-10-05.