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
131 HILLPOINTE DR, CANONSBURG, PA 15317-9502
(724) 873-1242
(724) 873-1205
Mailing address
2562 CONSTITUTION BLVD, BEAVER FALLS, PA 15010-1249
(724) 891-5044
(724) 891-5049
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
10/04/2023
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