Dialysis Clinic Inc.

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · New Kensington, PA

NPI 1114950698 · NPPES record last updated Oct 4, 2023

Key facts

NPI
1114950698
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
DIALYSIS CLINIC INC.
Practice address
722 4TH Ave
New Kensington, PA 15068-6402
Phone
(724) 339-1772
Fax
(724) 335-1610
NPI assigned
Jul 8, 2006
Organization subpart
No

Authorized official

Name
Mr. Donovan Schultz
Title
President
Phone
(615) 327-3061

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

722 4TH Ave
New Kensington, PA 15068-6402

Mailing address

722 4TH Ave
New Kensington, PA 15068-6402
Phone (724) 339-1772

Other identifiers

IdentifierTypeStateIssuer
1065350MedicaidPA
1007529840047MedicaidPA

Other providers in New Kensington, PA

All providers in New Kensington, PA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.