Organization
DIALYSIS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN SCHULTZ (PRESIDENT)
(615) 327-3061
Entity
Organization
Contact information
Practice address
303 RIDGEWATER DR, POLSON, MT 59860-8547
(406) 883-0534
(406) 883-0524
Mailing address
135 COMMONS WAY, KALISPELL, MT 59901-1900
(406) 756-5565
(406) 756-7712
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
10/05/2023
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