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ARA-MILWAUKEE DIALYSIS LLC NPI 1275644171


NPI Information

NPI: 1275644171
Provider Name: ARA-MILWAUKEE DIALYSIS LLC

Doing Business As: MILWAUKEE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 52D1044567

Address:
4775 N GREEN BAY AVE
MILWAUKEE, WI
ZIP 53209
Phone: (414) 265-1700
Get Directions

ARA-MILWAUKEE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Milwaukee, WI. ARA-MILWAUKEE DIALYSIS LLC NPI is 1275644171. The provider is registered as an organization entity type.
The provider Is Doing Business As Milwaukee Dialysis Center.

The provider's business location address is:

4775 N GREEN BAY AVE
MILWAUKEE, WI
ZIP 53209-521
Phone: (414) 265-1700
Fax: (414) 265-1701

The provider's authorized official is Sara Anne Brady .
The authorized official title is Chief Nursing Officer and has the following contact phone number (208) 371-7878.

The CLIA number assigned to this NPI record is 52D1044567 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/14/2023.


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

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
142061800MEDICAIDWISCONSIN

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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