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MIDWEST DIALYSIS CENTER INC. NPI 1306926910


NPI Information

NPI: 1306926910
Provider Name: MIDWEST DIALYSIS CENTER, INC.

Doing Business As: MIDWEST DIALYSIS CENTER-APPLETON AVE BRANCH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
7793 W APPLETON AVE
MILWAUKEE, WI
ZIP 53222
Phone: (414) 762-2020
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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 1306926910. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Dialysis Center-appleton Ave Branch.

The provider's business location address is:

7793 W APPLETON AVE
MILWAUKEE, WI
ZIP 53222-009
Phone: (414) 762-2020
Fax: (414) 762-2024

The provider's authorized official is Gregory V Warren .
The authorized official title is Owner and has the following contact phone number (414) 762-2020.

The enumeration date for this NPI number is 10/17/2006 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
1522571MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
2522571OTHERWISCONSINMEDICARE PROVIDER NUMBER
342062700OTHERWISCONSINMEDICAID PROVIDER NUMBER
442062700MEDICAIDWISCONSIN

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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