Organization
JEFFERSON CITY RENAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
144 SCOTT STATION RD, JEFFERSON CITY, MO 65109-4974
(573) 893-5220
(573) 659-7516
Mailing address
144 SCOTT STATION RD, JEFFERSON CITY, MO 65109-4974
(573) 893-5220
(573) 659-7516
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
08/11/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up