{"npi":"1316970890","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":"MA","license":"EPCU"}]},"addresses":[{"purpose":"LOCATION","street_1":"56 WINTHROP ST","city":"CONCORD","state":"MA","postal_code":"017422076","country_code":"US","street_2":"UNIT 2A","phone":"9783691683","fax":"9783692562"},{"purpose":"MAILING","street_1":"56 WINTHROP ST","city":"CONCORD","state":"MA","postal_code":"017422076","country_code":"US","street_2":"UNIT 2A","phone":"9783691683","fax":"9783692562"}],"license":{"state":"MA","number":"EPCU"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1319302","state":"MA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100408000429","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"GA","pac_id":"4284541129"}]},"enumeration_date":"2006-07-08","last_updated":"2023-10-04","_meta":{"source":"NPPES","snapshot_date":"2023-10-04","doc_url":"https://findmynpi.com/api"}}