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
1995 ERRECART BLVD, 100, ELKO, NV 89801-8334
(775) 738-4090
(775) 738-3240
Mailing address
778 BASQUE WAY, CARSON CITY, NV 89706-7935
(775) 883-5400
(775) 883-0255
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
3285ESR-6
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4504010
—
NV
05
—
XCDC00630
—
CA
Enumeration date
07/08/2006
Last updated
10/05/2023
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