OrganizationActive
Dialysis Clinic Inc.
NPI 1205869690 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Acoma, NM
Provider details
- NPI number
- 1205869690
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donovan Schultz, President(615) 327-3061
- License
- 3054 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
80a Veterans Blvd
Acoma, NM 87034
Phone: (505) 552-7292
Fax: (505) 552-7275
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 189
San Fidel, NM 87049-0189
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.