DIALYSIS CLINIC INC.
NPI 1689607061
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Maysville, KY

Active since July 08, 2006CLIA 18D0934792 · Waiver
1210 POPE DR, MAYSVILLE, KY 41056(606) 759-7689(606) 759-4001 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2023, Jul 15, 2019 (2 updates tracked since 2019).

  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 18D0934792
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 10-15-2027

About DIALYSIS CLINIC INC.

This page provides the complete NPI Profile along with additional information for Dialysis Clinic Inc., a provider established in Maysville, Kentucky operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1689607061 assigned on July 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 300120 (KY). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Donovan Schultz (President)

NPI
1689607061 Verify this NPI
Provider Name
DIALYSIS CLINIC INC.
Entity Type
Organization
Location Address
1210 POPE DR MAYSVILLE, KY 41056
Location Phone
(606) 759-7689
Location Fax
(606) 759-4001
Mailing Address
1210 POPE DR MAYSVILLE, KY 41056
Mailing Phone
(606) 759-7689
Mailing Fax
(606) 759-4001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2006
Last Update Date
10-05-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
300120
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONOVAN SCHULTZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 327-3061

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2046306MEDICAID (05)OH 
39090451MEDICAID (05)KY 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D0934792
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
October 16, 2025
Certificate Expiration Date
October 15, 2027
Laboratory Director
MAHMOUD EL-KHTIB,MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dialysis Clinic Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DIALYSIS CLINIC INC.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689607061, enumerated as an "organization" on July 08, 2006.

The provider is located at 1210 POPE DR MAYSVILLE, KY 41056 and the phone number is (606) 759-7689.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.