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DIALYSIS CLINIC INC. NPI 1477586857


NPI Information

NPI: 1477586857
Provider Name: DIALYSIS CLINIC, INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 36D0676282

Address:
325 W 6TH ST
EAST LIVERPOOL, OH
ZIP 43920
Phone: (330) 382-0835
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DIALYSIS CLINIC, INC. is an end-stage renal disease (esrd) treatment clinic center in East Liverpool, OH. DIALYSIS CLINIC, INC. NPI is 1477586857. The provider is registered as an organization entity type.

The provider's business location address is:

325 W 6TH ST
EAST LIVERPOOL, OH
ZIP 43920-803
Phone: (330) 382-0835
Fax: (330) 382-0840

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 36D0676282 - 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment0562DCOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10005814000MEDICAIDWEST VIRGINIA
201704094MEDICAIDPENNSYLVANIA
30744127MEDICAIDOHIO

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: 4/28/2024

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