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MIDWEST DIALYSIS CENTER INC NPI 1083735567


NPI Information

NPI: 1083735567
Provider Name: MIDWEST DIALYSIS CENTER, INC

Other Name: MIDWEST DIALYSIS CENTER, INC-27TH STREET BRANCH

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3120 S 27TH ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 672-1006
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MIDWEST DIALYSIS CENTER, INC is an end-stage renal disease (esrd) treatment clinic center in Milwaukee, WI. MIDWEST DIALYSIS CENTER, INC NPI is 1083735567. The provider is registered as an organization entity type.
The provider Other Name Is Midwest Dialysis Center, Inc-27th Street Branch.

The provider's business location address is:

3120 S 27TH ST
MILWAUKEE, WI
ZIP 53215-338
Phone: (414) 672-1006
Fax: (414) 672-1016

The provider's authorized official is David A Kurz .
The authorized official title is V.p. Operations and has the following contact phone number (414) 762-2020.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 10/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1522573MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
242063100MEDICAIDWISCONSIN
3522573OTHERWISCONSINMEDICARE PROVIDER NUMBER
442063100OTHERWISCONSINMEDICAID PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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