DIALYSIS CLINIC INC. NPI 1043243520

NPI Information

NPI: 1043243520
Provider Name: DIALYSIS CLINIC, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D1015008

Address:
7650 WELLNESS WAY
WEST CHESTER, OH
ZIP 45069
Phone: (513) 777-0855
Get Directions

DIALYSIS CLINIC, INC. is an end-stage renal disease (esrd) treatment clinic center in West Chester, OH. DIALYSIS CLINIC, INC. NPI is 1043243520. The provider is registered as an organization entity type.

The provider's business location address is:

7650 WELLNESS WAY
WEST CHESTER, OH
ZIP 45069-852
Phone: (513) 777-0855
Fax: (513) 777-8797

The provider's authorized official is Donovan Schultz .
The authorized official title is President and has the following contact phone number (615) 327-3061.

The CLIA number assigned to this NPI record is 36D1015008 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	0724DC	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39000658	MEDICAID	KENTUCKY
2	2455776	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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