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
20 E MAIN ST, MOUNT PLEASANT, PA 15666-2094
(724) 547-6511
(724) 547-6515
Mailing address
20 E MAIN ST, MOUNT PLEASANT, PA 15666-2094
(724) 547-6511
(724) 547-6515
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
—
1007529840027
—
PA
05
—
3089769
—
OH
05
—
95311
—
PA
Enumeration date
07/08/2006
Last updated
10/05/2023
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