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
2749 N CENTRAL AVE, HUMBOLDT, TN 38343
(731) 784-4384
(731) 784-5139
Mailing address
31 SANDSTONE CIR, JACKSON, TN 38305-2073
(731) 668-0800
(731) 668-1994
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0000000027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442532
—
TN
Enumeration date
07/08/2006
Last updated
10/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us