Dialysis Clinic Inc

Primary specialty

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

Legal business name

DIALYSIS CLINIC INC

Practice address

303 Ridgewater Dr
Polson, MT 59860-8547

Phone

(406) 883-0534

Fax

(406) 883-0524

NPI assigned

Nov 11, 2016

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

Locations

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1790227403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COMMONS WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011900",
            "telephone_number": "406-756-5565",
            "fax_number": "406-756-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 RIDGEWATER DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608547",
            "telephone_number": "406-883-0534",
            "fax_number": "406-883-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Darci Jones, LCSW, LLC
• Amanda Darling
• Heather Alyse Day, SNM
• Dci Kidney Care Polson LLC
• Katherine Jean Devlin, PHARMD
• Cynthia A Difrancesco, PT
• Jacob Dilworth
• Dogwood Counseling PLLC
• Siera Leone Donovan, PCLC
• Dr. Michael R. Windauer, DMD, PC

• All providers in Polson, MT
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.