Jefferson City Renal Services LLC

Primary specialty

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

Legal business name

JEFFERSON CITY RENAL SERVICES LLC

Practice address

144 Scott Station Rd
Jefferson City, MO 65109-4974

Phone

(573) 893-5220

Fax

(573) 659-7516

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Donovan Schultz

Title

President

Phone

(615) 327-3061

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dialysis Clinic Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brownsville, TN
  • NPI 1013940493

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1285147504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SCOTT STATION RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094974",
            "telephone_number": "573-893-5220",
            "fax_number": "573-659-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SCOTT STATION RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651094974",
            "telephone_number": "573-893-5220",
            "fax_number": "573-659-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON CITY RENAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson City Nursing and Rehabilitation Center, LLC
• Jefferson City Obstetrics & Gynecology Inc
• Jefferson City Open MRI LLC
• Jefferson City Oral and Maxillofacial Surgery, LLC
• Jefferson City Public Schools
• Jefferson City Renal Services LLC
• Jefferson City Residential, LLC
• Jefferson City Residential, LLC
• Jefferson City Wellness & Rehabilitation LLC
• Jefferson Mo Healthcare, LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.