Provider Type Icon

THE DULUTH CLINIC LTD NPI 1619118759


NPI Information

NPI: 1619118759
Provider Name: THE DULUTH CLINIC, LTD

Doing Business As: DULUTH CLINIC AT FRESENIUS ASHLAND DIALYSIS UNIT

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1913 BEASER AVE
ASHLAND, WI
ZIP 54806
Phone: (715) 682-4333
Get Directions

THE DULUTH CLINIC, LTD is an end-stage renal disease (esrd) treatment clinic center in Ashland, WI. THE DULUTH CLINIC, LTD NPI is 1619118759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Duluth Clinic At Fresenius Ashland Dialysis Unit.

The provider's business location address is:

1913 BEASER AVE
ASHLAND, WI
ZIP 54806-604
Phone: (715) 682-4333

The provider's authorized official is Michael C Metcalf .
The authorized official title is Evp and has the following contact phone number (218) 786-2642.

The enumeration date for this NPI number is 3/19/2009 and was last updated on 4/9/2010.


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
1207RN0300XInternal MedicineNephrologyNo
2261QE0700XClinic/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
104010MEDICARE PINWISCONSIN
252D0877366OTHERWISCONSINCLIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.