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
275 SOUTH ORCHARD, UKIAH, CA 95482-5016
(530) 246-1140
(530) 246-5658
Mailing address
180 NORTHPOINT DR, REDDING, CA 96003-2510
(530) 246-1140
(530) 246-5658
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2011
Last updated
10/04/2023
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