DIALYSIS CLINIC INC – NPI #1679819684
Clinic/Center

DIALYSIS CLINIC INC is an AHC clinic located in CUBA, NM. NPPES has assigned the NPI number 1679819684 to DIALYSIS CLINIC INC on December 19, 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 05, 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
1679819684
Enumeration Date

(more than 13 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
14 EAST CORDOVA AVE
CUBA, NM 87103
Phone: (575) 289-0090 Fax: (575) 289-0166
Mailing address
1500 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87102-1646
Phone: (505) 243-7376 Fax: (505) 724-1528
Organization Subpart
No
Authorized Official
DONOVAN SCHULTZ
PRESIDENT
Phone: (615) 327-3061
Updated
Certification Date
Oct 05, 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.