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
609 E YOUNG AVE, WARRENSBURG, MO 64093-9609
(816) 363-8228
(816) 363-1445
Mailing address
6530 TROOST AVENUE, KANSAS CITY, KS 64131
(816) 363-8228
(816) 363-1445
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114931268
—
MO
Enumeration date
07/27/2006
Last updated
10/04/2023
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