DUBUQUE INTERNAL MEDICINE PC NPI 1679171599

NPI Information

  • NPI: 1679171599
  • Provider Name: DUBUQUE INTERNAL MEDICINE, PC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: TRI STATE DIALYSIS RICHLAND CENTER
  • CLIA Number: 52D2235125
  • Address: 190 N ORANGE ST
    RICHLAND CENTER, WI
    ZIP 53581
  • Phone: (563) 557-9111

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NPI Details

DUBUQUE INTERNAL MEDICINE, PC is an end-stage renal disease (esrd) treatment clinic center in Richland Center, WI. DUBUQUE INTERNAL MEDICINE, PC NPI is 1679171599. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri State Dialysis Richland Center.

The provider's business location address is:

190 N ORANGE ST
RICHLAND CENTER, WI
ZIP 53581-163
Phone: (563) 557-9111

The provider's authorized official is Mariah Ann Brandenburg .
The authorized official title is Administration and has the following contact phone number (563) 589-4066.

The CLIA number assigned to this NPI record is 52D2235125 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2020 and was last updated on 8/28/2024.

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) TreatmentYes

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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