DIALYSIS CLINIC INC. – NPI #1588697965
Clinic/Center

DIALYSIS CLINIC INC. is an AHC clinic located in BOONVILLE, MO. NPPES has assigned the NPI number 1588697965 to DIALYSIS CLINIC INC. on July 08, 2006. 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
1588697965
Enumeration Date

(about 20 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
600 RANKIN MILL LN
BOONVILLE, MO 65233
Phone: (660) 882-2466 Fax: (660) 882-5025
Mailing address
16895 RANKIN MILL LN
BOONVILLE, MO 65233-2827
Phone: (660) 882-2466 Fax: (660) 882-5025
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.

Identifiers

Identifiers for DIALYSIS CLINIC INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO502149313
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.