DIALYSIS CLINIC INC. NPI 1285962001

NPI Information

NPI: 1285962001
Provider Name: DIALYSIS CLINIC INC.
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 32D2007811
Address: 85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM
ZIP 87052
Phone: (505) 465-2003

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NPI Details

DIALYSIS CLINIC INC. is an end-stage renal disease (esrd) treatment clinic center in Santo Domingo Pueblo, NM. DIALYSIS CLINIC INC. NPI is 1285962001. The provider is registered as an organization entity type.

The provider's business location address is:

85 WEST HIGHWAY 22
SANTO DOMINGO PUEBLO, NM
ZIP 87052
Phone: (505) 465-2003
Fax: (505) 465-2165

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 32D2007811 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2009 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			Yes

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: 3/30/2025

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