Dci Kidney Care Polson LLC

Primary specialty

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

Legal business name

DCI KIDNEY CARE POLSON LLC

Practice address

303 Ridgewater Dr
Polson, MT 59860-8547

Phone

(406) 883-0534

Fax

(406) 883-0524

NPI assigned

Dec 4, 2025

Last updated

Dec 4, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Listed as

Dci PolsonCCN 272513

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Mar 22, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

17

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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
  • Nashville, TN
  • NPI 1871526350

  Member Of

  NPD member

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Gabor Bodonyi-Kovacs, MD

  • Nephrology Physician
  • Kalispell, MT
  • NPI 1821288051

  Dialysis facility

  Care Compare affiliation Name & address match
• Shahid Sattar Chaudhary, M.D.

  • Nephrology Physician
  • Missoula, MT
  • NPI 1902986987

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1790648947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 CHURCH ST STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032948",
            "telephone_number": "615-342-0498",
            "fax_number": "615-963-9730"
        },
        {
            "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": "DCI KIDNEY CARE POLSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Daniel a Gullotta PT
• Whitney Danz, LCSW
• Darci Jones, LCSW, LLC
• Amanda Darling
• Heather Alyse Day, SNM
• Katherine Jean Devlin, PHARMD
• Dialysis Clinic Inc
• Cynthia A Difrancesco, PT
• Jacob Dilworth
• Dogwood Counseling PLLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Polson, MT
• Providers in Polson, MT by specialty
• 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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.