Dialysis Clinic Inc. in Jasper - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1306879796
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Jasper, 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 1306879796. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 300 Westfield Pl, Jasper, Tennessee. You can contact this provider via phone number 4239429977 and fax number 4239429988. The mailing address for Dialysis Clinic Inc. is 300 Westfield Pl, Jasper, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 300 Westfield Pl, Jasper, Tennessee |
| Phone Number | 4239429977 |
| Fax Number | 4239429988 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153292513 |
NPI Number Detail
| NPI Number | 1306879796 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 300 Westfield Pl |
|---|---|
| City | Jasper |
| State | Tennessee (TN) |
| Post Code | 373475142 |
| Phone Number | 4239429977 |
| Fax Number | 4239429988 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 78 |
|
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 |
|---|---|---|---|
| 044-2626 | TN | -- | |
| DIA2626D | AL | -- | |
| TN0114 | IL | -- | |
| 00551867A | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dialysis Clinic Inc.?
The Dialysis Clinic Inc. has been issued the NPI (National Provider Identifier) 1306879796 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Dialysis Clinic Inc. is geographically located?
The Dialysis Clinic Inc. is physically situated at the following location: 300 Westfield Pl, Jasper, TN, 373475142.
What is the area of specialization for Dialysis Clinic Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dialysis Clinic Inc. is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.
When did the Dialysis Clinic Inc. receive its 1306879796?
The Dialysis Clinic Inc. was issued its 1306879796 on 2006-07-08, which is the date when the organization was assigned this unique identifier.
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.
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