Organization
DIALYSIS CLINIC INC.
Active
Other names
Pike County Home Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
1015 W ADAMS ST, BOWLING GREEN, MO 63334-1974
(573) 324-5300
Mailing address
3300 LEMONE INDUSTRIAL BLVD, COLUMBIA, MO 65201-8246
(573) 443-1531
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
10/04/2023
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