Organization · Type 2 NPI
Dialysis Clinic Inc.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Acoma, NM
NPI number
1205869690
Active
Practice location
80A Veterans Blvd
Acoma, NM 87034
Fax (505) 552-7275
Mailing address
PO Box 189
San Fidel, NM 87049-0189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | 3054 (NM) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
About NPI 1205869690
Dialysis Clinic Inc.'s National Provider Identifier is 1205869690, issued on Jul 8, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Acoma, NM. The record was last updated on Oct 4, 2023.