DIALYSIS CLINIC INC. – NPI #1093077406
Clinic/Center

DIALYSIS CLINIC INC. is an AHC clinic located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1093077406 to DIALYSIS CLINIC INC. on June 12, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 3 years ago on Oct 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIALYSIS CLINIC INC. below.

NPI Profile for
DIALYSIS CLINIC INC.

NPI Number
1093077406
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIALYSIS CLINIC INC.
Primary location
1725 ISLETA BLVD, SW
ALBUQUERQUE, NM 87105
Phone: (505) 877-3181 Fax: (505) 877-3380
Mailing address
1500 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87102-1646
Phone: (505) 724-1500 Fax: (505) 724-1528
Organization Subpart
No
Authorized Official
DONOVAN SCHULTZ
PRESIDENT
Phone: (615) 327-3061
Updated
Certification Date
Oct 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.