Organization
DIALYSIS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
7650 WELLNESS WAY, WEST CHESTER, OH 45069-2852
(513) 777-0855
(513) 777-8797
Mailing address
7650 WELLNESS WAY, WEST CHESTER, OH 45069-2852
(513) 777-0855
(513) 777-8797
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0724DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455776
—
OH
05
—
39000658
—
KY
Enumeration date
07/08/2006
Last updated
10/04/2023
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