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DIALYSIS CLINIC INC. NPI 1679506067


NPI Information

NPI: 1679506067
Provider Name: DIALYSIS CLINIC INC.
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
135 COMMONS WAY
KALISPELL, MT
ZIP 59901
Phone: (406) 756-5565
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DIALYSIS CLINIC INC. is an end-stage renal disease (esrd) treatment clinic center in Kalispell, MT. DIALYSIS CLINIC INC. NPI is 1679506067. The provider is registered as an organization entity type.

The provider's business location address is:

135 COMMONS WAY
KALISPELL, MT
ZIP 59901-900
Phone: (406) 756-5565
Fax: (406) 756-7712

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

The enumeration date for this NPI number is 7/8/2006 and was last updated on 7/8/2019.


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) Treatment10555MONTANAYes

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
10730133MEDICAIDMONTANA

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: 11/14/2023

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