Active NPI
Dialysis Clinic Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pittsburgh, PA
National Provider Identifier
1306879788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- DIALYSIS CLINIC INC.
- Practice address
- 100 S Jackson Ave
7TH Floor
Pittsburgh, PA 15202-3428 - Phone
- (412) 766-6590
- Fax
- (412) 766-6961
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donovan Schultz
- Title
- President
- Phone
- (615) 327-3061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
100 S Jackson Ave
7TH Floor
Pittsburgh, PA 15202-3428
Mailing address
3412 Babcock Blvd
Pittsburgh, PA 15237-2402
Phone (412) 635-0211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007529840016 | Medicaid | PA | |
| 1704094 | Medicaid | PA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brownsville, TN
- NPI 1013940493
Member Of
Locations
100 S Jackson Ave
Fl 7
Pittsburgh, PA 15202
Phone (412) 766-6590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1306879788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3412 BABCOCK BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152372402",
"telephone_number": "412-635-0211",
"fax_number": "412-635-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S JACKSON AVE",
"address_2": "7TH FLOOR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152023428",
"telephone_number": "412-766-6590",
"fax_number": "412-766-6961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIALYSIS CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"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",
"authorized_official_name_prefix": "Mr."
},
"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": "1007529840016",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1704094",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- 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.