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
3012 OLIVE HWY, OROVILLE, CA 95966-6222
(530) 532-6800
(530) 532-6805
Mailing address
3012 OLIVE HWY, OROVILLE, CA 95966-6222
(530) 532-6800
(530) 532-6805
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
110000488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004201430
—
CT
05
—
CDC02876F
—
CA
Enumeration date
07/08/2006
Last updated
10/04/2023
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