ASPIRUS MEDFORD HOSPITAL & CLINICS INC. NPI 1558511295

NPI Information

  • NPI: 1558511295
  • Provider Name: ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: ASPIRUS KIDNEY CARE - MEDFORD
  • CLIA Number: 52D1100916
  • Address: 111 S GIBSON ST
    MEDFORD, WI
    ZIP 54451
  • Phone: (715) 748-8100

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NPI Details

ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. is an end-stage renal disease (esrd) treatment clinic center in Medford, WI. ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. NPI is 1558511295. The provider is registered as an organization entity type.
The provider Is Doing Business As Aspirus Kidney Care - Medford.

The provider's business location address is:

111 S GIBSON ST
MEDFORD, WI
ZIP 54451
Phone: (715) 748-8100
Fax: (715) 748-8199

The provider's authorized official is Jerry M Yang .
The authorized official title is Svp & Chief Financial Officer and has the following contact phone number (715) 847-2526.

The CLIA number assigned to this NPI record is 52D1100916 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 6/10/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment6797WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110008277MEDICAIDWISCONSIN

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: 3/30/2025

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