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
65 DOLBY ST, CLARION, PA 16214-8517
(814) 227-2222
(814) 227-2270
Mailing address
65 DOLBY ST, CLARION, PA 16214-8517
(814) 227-2222
(814) 227-2270
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
—
1007529840038
—
PA
05
—
1793450
—
PA
Enumeration date
07/08/2006
Last updated
10/05/2023
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