Dialysis Clinic Inc.
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Baden, PA
NPI 1124047360 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1124047360
- 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
- 350 Logan LN
Baden, PA 15005-2150 - Phone
- (724) 869-2700
- Fax
- (724) 869-6200
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Donovan Schultz
- Title
- President
- Phone
- (615) 327-3061
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Elbert P Tuttle Jr MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
350 Logan LN
Baden, PA 15005-2150
Mailing address
350 Logan LN
Baden, PA 15005-2150
Phone (724) 869-2700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01879223 | Medicaid | PA |
Other providers in Baden, PA
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- Jennifer J. Connolly
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- Jessica Ann Deluca
- Matthew J Deluca
- Margaretta Dodds
- Linda Feduska
- Giant Eagle Inc
- Layne Gregory Gonzalez
- Jeffery P Hein
All providers in Baden, PA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.