Dialysis Clinic Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DIALYSIS CLINIC INC.

Practice address

280 North Ave
Washington, PA 15301-3513

Phone

(724) 229-8834

Fax

(724) 229-8837

NPI assigned

Jun 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1265468672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2562 CONSTITUTION BLVD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101249",
            "telephone_number": "724-891-5044",
            "fax_number": "724-891-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NORTH AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013513",
            "telephone_number": "724-229-8834",
            "fax_number": "724-229-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-327-3061"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100752984 0032",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Demott-Camp, OD
• Dennis P. Brown Surgical, P.C.
• Dental Health First LLC
• Dental Professionals of Pennsylvania, PC
• Linda Detrich, RN
• Kenneth W Diddle, P.A.
• Tracy Lynn Diesel, PT
• Leah Dietrich
• Thomas Alex Dietrich, DDS
• Carl Digiorgio, DO

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Washington, PA
• Providers in Washington, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.