DCI JACKSONVILLE MID-TOWN
NPI 1609360577
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jacksonville, FL

Q: What is Dialysis Clinic Inc's NPI number?

The NPI number for Dialysis Clinic Inc is 1609360577. It was assigned to this organization in the NPPES registry on June 14, 2018. The provider is doing business as DCI Jacksonville Mid-Town.

Q: What is Dialysis Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Dialysis Clinic Inc have?

CMS rates Dialysis Clinic Inc 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since June 14, 2018CLIA Certified · 2 labs

2/5

Overall Rating

757 W UNION ST, JACKSONVILLE, FL 32202(904) 539-4963(904) 539-4964 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Sep 15, 2021, Jul 15, 2019 and 1 more (4 updates tracked since 2018).

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About Dci Jacksonville Mid-town NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DCI JACKSONVILLE MID-TOWN (NPI 1609360577) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jacksonville, Florida and active in the NPI registry since June 2018. The organization holds 2 active CLIA laboratory certificates and lists Donovan Schultz, President, as its authorized official.

NPPES Registry Identity

NPI1609360577

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameDIALYSIS CLINIC INC

Location Address757 W UNION STJacksonville, FL 32202-4765

Mailing Address615 Park StJacksonville, FL 32204-2932 · (904) 354-0409 · Fax (904) 354-0415

Phone(904) 539-4963

Fax(904) 539-4964

Organization SubpartNo

Authorized OfficialDonovan SchultzPresident · (615) 327-3061

Enumeration DateJune 14, 2018

Last NPPES UpdateOctober 4, 20234 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1609360577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

757 W UNION ST, Jacksonville, FL 32202

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Other Names 1

Doing Business AsDci Jacksonville Mid-town

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2149782

Dci Jacksonville Mid-Town · Jacksonville, FL

Active · expires Jun 10, 2028

CLIA Number10D2149782

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJune 11, 2026

Certificate Expiration DateJune 10, 2028

Laboratory DirectorLeodivini Torres

Laboratory Phone(904) 539-4963

Laboratory LocationDci Jacksonville Mid-Town757 West Union Street, Jacksonville, FL 32202

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2142975

Dci Jacksonville · Jacksonville, FL

Active · expires Jan 22, 2028

CLIA Number10D2142975

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJanuary 23, 2026

Certificate Expiration DateJanuary 22, 2028

Laboratory DirectorMichael Tayag

Laboratory Phone(904) 354-0409

Laboratory LocationDci Jacksonville615 Park St, Jacksonville, FL 32204

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Dialysis Clinic Inc (CMS certification number 102531), from CMS Care Compare.

Dialysis Clinic Inc

Dialysis facility · Jacksonville, FL

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipNon-profit

ChainDialysis Clinic, Inc.

CMS Certification Number102531

ESRD NetworkNetwork 7

Hemodialysis Stations32

Medicare-Certified SinceDecember 13, 1978

Location615 Park St.Jacksonville, FL 32204 · Duval County

Phone(904) 354-0409

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dialysis Clinic Inc's NPI number?

The NPI number for Dialysis Clinic Inc is 1609360577. It was assigned to this organization in the NPPES registry on June 14, 2018. The provider is doing business as DCI Jacksonville Mid-Town.

Where is Dialysis Clinic Inc located?

Dialysis Clinic Inc is located at 757 W Union St, Jacksonville, FL 32202. The listed phone number is (904) 539-4963.

What is Dialysis Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Dialysis Clinic Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

Is Dialysis Clinic Inc a Medicare-certified dialysis facility?

Yes. Dialysis Clinic Inc is a Medicare-certified dialysis facility, certified since December 13, 1978.

What quality rating does Dialysis Clinic Inc have?

CMS rates Dialysis Clinic Inc 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Dialysis Clinic Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan, Ambetter of Alabama and Ambetter of North Carolina and 8 other insurers list Dialysis Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dialysis Clinic Inc was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.