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
3300 HENRY AVE, 4TH FLOOR, PHILADELPHIA, PA 19129-1121
(215) 848-3127
(215) 849-7240
Mailing address
3300 HENRY AVE, EAST FALLS, PHILADELPHIA, PA 19129-1121
(215) 848-3127
(215) 849-7240
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007529840046
—
PA
05
—
1074869
—
PA
Enumeration date
07/08/2006
Last updated
10/04/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up