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FRESENIUS MEDICAL CARE MIDWEST DIALYSIS LLC NPI 1023354867


NPI Information

NPI: 1023354867
Provider Name: FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC

Doing Business As: FRESENIUS MEDICAL CARE MIDWEST 27TH STREET BRANCH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 52D1055233

Address:
3120 S 27TH ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 643-1714
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FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Milwaukee, WI. FRESENIUS MEDICAL CARE MIDWEST DIALYSIS, LLC NPI is 1023354867. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Midwest 27th Street Branch.

The provider's business location address is:

3120 S 27TH ST
MILWAUKEE, WI
ZIP 53215-338
Phone: (414) 643-1714
Fax: (414) 643-5018

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 52D1055233 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2012 and was last updated on 10/18/2023.


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

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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