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
720 ST MARY WAY, BILLINGS, MT 59106-2751
(406) 252-9270
Mailing address
2411 VILLAGE LN, BILLINGS, MT 59102-2491
(406) 252-9270
(406) 248-5540
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10502
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730262
—
MT
05
—
1106465 03
—
WY
Enumeration date
07/08/2006
Last updated
10/04/2023
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