Dialysis Clinic Inc.

LBN: Dialysis Clinic Inc.
Dialysis Clinic Inc. is an health care organization with primary practice located at 5258-10 Norwood Ave , Jacksonville FL 32208-5026. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Dialysis Clinic Inc. can be contacted via phone (904) 764-6781, or through Schultz, Donovan via phone (615) 327-3061.

Contact Information

Primary practice address
5258-10 Norwood Ave Jacksonville FL 32208-5026
Phone: (904) 764-6781
Fax: (904) 765-9862
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Donovan
Phone: (615) 327-3061

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1053597666
LBN Legal business name Dialysis Clinic Inc.
DBA Doing business as
Authorized official Schultz, Donovan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2008
Last updated Oct 4th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053597666 NPPES
Florida MEDICAID 001228500

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