{"npi":"1124051602","type":"NPI-2","status":"active","name":{"display":"Dialysis Clinic Inc.","other":[],"organization_name":"DIALYSIS CLINIC INC.","authorised_official":"Donovan Schultz"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":"SC","license":"ERD-030"}]},"addresses":[{"purpose":"LOCATION","street_1":"203 E FREMONT AVE","city":"SPARTANBURG","state":"SC","postal_code":"293032932","country_code":"US","phone":"8645852046","fax":"8645824843"},{"purpose":"MAILING","street_1":"203 E FREMONT AVE","city":"SPARTANBURG","state":"SC","postal_code":"293032932","country_code":"US","phone":"8645852046","fax":"8645824843"}],"license":{"state":"SC","number":"ERD-030"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"422511","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"4202511","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-08","last_updated":"2023-10-04","_meta":{"source":"NPPES","snapshot_date":"2023-10-04","doc_url":"https://findmynpi.com/api"}}