Dialysis Clinic Inc. in Maryville - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1487687968
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Maryville, 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 1487687968. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is 1851 Crest Rd, Maryville, Tennessee. You can contact this provider via phone number 8659832212 and fax number 8659830905. The mailing address for Dialysis Clinic Inc. is 1851 Crest Rd, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | 1851 Crest Rd, Maryville, Tennessee |
| Phone Number | 8659832212 |
| Fax Number | 8659830905 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1487687968 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | 1851 Crest Rd |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378044304 |
| Phone Number | 8659832212 |
| Fax Number | 8659830905 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 52 |
|
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 |
|---|---|---|---|
| 4448085 | TN | -- |
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) 1487687968. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Dialysis Clinic Inc. located?
The Dialysis Clinic Inc. is located at 1851 Crest Rd, Maryville, TN 378044304.
What is Dialysis Clinic Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Dialysis Clinic Inc.'s area of specialization is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this field of practice is 261Qe0700X.
When was the Dialysis Clinic Inc.'s 1487687968 issued?
The Dialysis Clinic Inc.'s 1487687968 was issued on 2006-07-08.
As of what date were the details pertaining to Dialysis Clinic Inc. last refreshed?
The information related to the Dialysis Clinic Inc., including its address, specialty, and other relevant details, was last updated on 2023-10-04.