DIALYSIS CLINIC INC. NPI 1689607061

NPI Information

NPI: 1689607061
Provider Name: DIALYSIS CLINIC INC.
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 18D0934792
Address: 1210 POPE DR
MAYSVILLE, KY
ZIP 41056
Phone: (606) 759-7689

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NPI Details

DIALYSIS CLINIC INC. is an end-stage renal disease (esrd) treatment clinic center in Maysville, KY. DIALYSIS CLINIC INC. NPI is 1689607061. The provider is registered as an organization entity type.

The provider's business location address is:

1210 POPE DR
MAYSVILLE, KY
ZIP 41056-734
Phone: (606) 759-7689
Fax: (606) 759-4001

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 18D0934792 - 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 10/5/2023.

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	300120	KENTUCKY	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	2046306	MEDICAID	OHIO
2	39090451	MEDICAID	KENTUCKY

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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