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
1213 BONITA ST, GRANTS, NM 87020-2103
(505) 285-5200
(505) 285-5540
Mailing address
1213 BONITA ST, GRANTS, NM 87020-2103
(505) 285-5200
(505) 285-5540
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
6377A1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01436
—
ND
05
—
N5003
—
NM
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