Organization Name: | DIALYSIS CLINIC INC. |
NPI Number: | 1316970791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES E. ATTRILL (PRESIDENT) |
Mailing Address: | 715 Meeting Street. So. Georgiana |
State: | AL US |
Postal Code: | 36033 |
Phone Number: | 3343760277 |
Fax Number: | 3343760280 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 07925 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |