PURITY DIALYSIS CENTERS INC NPI 1609952233

NPI Information

NPI: 1609952233
Provider Name: PURITY DIALYSIS CENTERS, INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: MENOMONEE FALLS DIALYSIS CENTER
CLIA Number: 52D0988770
Address: N87W17301 MAIN ST
MENOMONEE FALLS, WI
ZIP 53051
Phone: (262) 253-9768

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NPI Details

PURITY DIALYSIS CENTERS, INC is an end-stage renal disease (esrd) treatment clinic center in Menomonee Falls, WI. PURITY DIALYSIS CENTERS, INC NPI is 1609952233. The provider is registered as an organization entity type.
The provider Is Doing Business As Menomonee Falls Dialysis Center.

The provider's business location address is:

N87W17301 MAIN ST
MENOMONEE FALLS, WI
ZIP 53051-760
Phone: (262) 253-9768
Fax: (262) 253-9870

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 52D0988770 - 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 10/26/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		WISCONSIN	Yes

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
1	522523	MEDICARE PIN	WISCONSIN
2	42054100	MEDICAID	WISCONSIN
3	52D0988770	OTHER	WISCONSIN	52D0988770

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: 11/21/2025

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