DIALYSIS CLINIC INC. NPI 1760415145

NPI Information

DIALYSIS CLINIC INC. is an end-stage renal disease (esrd) treatment clinic center in Moulton, AL. DIALYSIS CLINIC INC. NPI is 1760415145. The provider is registered as an organization entity type.

The provider's business location address is:

1962 MAIN ST
MOULTON, AL
ZIP 35650-030
Phone: (256) 974-1400
Fax: (256) 974-0041

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 01D0953207 - 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:

Other Identifiers

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