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
499 E MCMILLAN ST, CINCINNATI, OH 45206-1938
(513) 281-0091
(513) 221-3425
Mailing address
499 E MCMILLAN ST, CINCINNATI, OH 45206-1938
(513) 281-0091
(513) 221-3425
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
0063DC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345157
—
OH
05
—
100002590
—
IN
05
—
39954003
—
KY
Enumeration date
06/30/2006
Last updated
10/05/2023
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