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
1 SKYLINE DR STE B4, HAWTHORNE, NY 10532-2157
(914) 592-4366
(914) 345-0630
Mailing address
1633 CHURCH ST STE 500, NASHVILLE, TN 37203-2948
(615) 342-0552
(914) 345-0630
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
5957201R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165635
—
NY
05
—
39204235
—
CO
Enumeration date
07/08/2006
Last updated
08/21/2023
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