Dialysis Clinic Inc. in San Fidel - End-stage Renal Disease (esrd) Treatment
Dialysis Clinic Inc. - NPI 1205869690
Dialysis Clinic Inc. is a End-stage Renal Disease (esrd) Treatment in San Fidel, 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 1205869690. The last update date is 2023-10-04.
Dialysis Clinic Inc.'s current location address is Po Box 189, San Fidel, New Mexico. You can contact this provider via phone number 5055527292 and fax number 5055527275. The mailing address for Dialysis Clinic Inc. is Po Box 189, San Fidel, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dialysis Clinic Inc. |
|---|---|
| Address | Po Box 189, San Fidel, New Mexico |
| Phone Number | 5055527292 |
| Fax Number | 5055527275 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Donovan |
| Telephone Number | 6153273061 |
NPI Number Detail
| NPI Number | 1205869690 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | Po Box 189 |
|---|---|
| City | San Fidel |
| State | New Mexico (NM) |
| Post Code | 870490189 |
| Phone Number | 5055527292 |
| Fax Number | 5055527275 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
| Licence No | 3054 |
|
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 |
|---|---|---|---|
| 45997 | CA | -- | |
| G8529 | NM | -- |
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) 1205869690 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 Po Box 189, in the city of San Fidel, state of NM, with the zip code 870490189.
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.
On what date did the Centers for Medicare & Medicaid Services assign the 1205869690 to Dialysis Clinic Inc.?
The Centers for Medicare & Medicaid Services assigned the 1205869690 to Dialysis Clinic Inc. on 2006-07-08.
When was the information regarding Dialysis Clinic Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dialysis Clinic Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-04.
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