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PURITY DIALYSIS CENTERS INC NPI 1942386610


NPI Information

NPI: 1942386610
Provider Name: PURITY DIALYSIS CENTERS, INC

Doing Business As: WAUKESHA DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 52D0721825

Address:
721 AMERICAN AVE STE 204
WAUKESHA, WI
ZIP 53188
Phone: (262) 928-2575
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PURITY DIALYSIS CENTERS, INC is an end-stage renal disease (esrd) treatment clinic center in Waukesha, WI. PURITY DIALYSIS CENTERS, INC NPI is 1942386610. The provider is registered as an organization entity type.
The provider Is Doing Business As Waukesha Dialysis Center.

The provider's business location address is:

721 AMERICAN AVE STE 204
WAUKESHA, WI
ZIP 53188-071
Phone: (262) 928-2575

The provider's authorized official is Tina M Waldron .
The authorized official title is Billing Supervisor and has the following contact phone number (262) 646-6426.

The CLIA number assigned to this NPI record is 52D0721825 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/13/2010.


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) TreatmentWISCONSINYes

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
152D0721825OTHERWISCONSINCLIA NUMBER
2522504MEDICARE PINWISCONSIN
342050800MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.