Dialysis Clinic Inc.

LBN: Dialysis Clinic Inc.
Dialysis Clinic Inc. is an health care organization with primary practice located at 3129 Hendricks Ave , Jacksonville FL 32207-4217. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Dialysis Clinic Inc. can be contacted via phone (904) 398-8266, or through Schultz, Donovan via phone (615) 327-3061.

Contact Information

Primary practice address
3129 Hendricks Ave Jacksonville FL 32207-4217
Phone: (904) 398-8266
Fax: (904) 396-4803
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Donovan
Phone: (615) 327-3061

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1356649982
LBN Legal business name Dialysis Clinic Inc.
DBA Doing business as
Authorized official Schultz, Donovan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2011
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 1356649982 NPPES
Florida MEDICAID 003852101
Florida MEDICAID 003852102
Florida MEDICAID 003852100

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