Dialysis Clinic Inc. in East Ridge - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1497783047
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in East Ridge, 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 1497783047. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 6104 N Mack Smith Rd, East Ridge, Tennessee. You can contact this provider via phone number 4238948133 and fax number 4268948337. The mailing address for Dialysis Clinic Inc. is 6104 N Mack Smith Rd, East Ridge, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 6104 N Mack Smith Rd, East Ridge, Tennessee |
| Phone Number | 4238948133 |
| Fax Number | 4268948337 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1497783047 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 6104 N Mack Smith Rd |
|---|---|
| City | East Ridge |
| State | Tennessee (TN) |
| Post Code | 374123960 |
| Phone Number | 4238948133 |
| Fax Number | 4268948337 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 50 |
|
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 |
|---|---|---|---|
| 044-2514 | TN | -- | |
| 62085048-17 | IL | -- | |
| 00551867A | GA | -- | |
| 000551867B | GA | -- |
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) 1497783047 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 6104 N Mack Smith Rd, in the city of East Ridge, state of TN, with the zip code 374123960.
What is Dialysis Clinic Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dialysis Clinic Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy classification code for this specialized field is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497783047 to Dialysis Clinic Inc.?
The Dialysis Clinic Inc. received its 1497783047 assignment from the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the information regarding Dialysis Clinic Inc. most recently updated?
The details pertaining to the Dialysis Clinic Inc., including its address, specialty, and other relevant information, were last refreshed on 2023-10-04.