Dialysis Clinic Inc. in Rio Rancho - End-stage Renal Disease (esrd) Treatment

Dialysis Clinic Inc. - NPI 1124051503

Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in Rio Rancho, New Mexico. 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 1124051503. The last update date is 2023-10-04.

Dialysis Clinic Inc.'s current location address is 4045 Jackie Rd Se, Rio Rancho, New Mexico. You can contact this provider via phone number 5058968861 and fax number 5058966184. The mailing address for Dialysis Clinic Inc. is 4045 Jackie Rd Se, Rio Rancho, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dialysis Clinic Inc.
Address 4045 Jackie Rd Se, Rio Rancho, New Mexico
Phone Number 5058968861
Fax Number 5058966184
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Schultz Donovan
Telephone Number 6153273061

NPI Number Detail

NPI Number 1124051503
Provider Enumeration Date 2006-07-08
Last Updated Date 2023-10-04

Provider Mailing Address Detail

Address 4045 Jackie Rd Se
City Rio Rancho
State New Mexico (NM)
Post Code 871246610
Phone Number 5058968861
Fax Number 5058966184

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 6674
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
S8115 NM --

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FAQs about Dialysis Clinic Inc.

What is the unique 10-digit identifier code assigned to Dialysis Clinic Inc. by the Centers for Medicare & Medicaid Services?

The Dialysis Clinic Inc. has been issued the NPI (National Provider Identifier) 1124051503 by the CMS (Centers for Medicare & Medicaid Services), which serves as 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: 4045 Jackie Rd Se, Rio Rancho, NM, 871246610.

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.

When was the Dialysis Clinic Inc.'s 1124051503 issued?

The Dialysis Clinic Inc.'s 1124051503 was issued 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 2023-10-04.

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