<Unavail>

LBN: Midwest Dialysis Center, Inc
<Unavail> is an health care organization with primary practice located at 9420 S 22Nd St , Oak Creek WI 53154-8242. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Midwest Dialysis Center, Inc can be contacted via phone (414) 761-8080, or through Kurz, David A via phone (414) 762-2020.

Contact Information

Primary practice address
9420 S 22Nd St Oak Creek WI 53154-8242
Phone: (414) 761-8080
Fax: (414) 761-8953
Website:
Map and Directions
Authorized official contact:
Name: Kurz, David A
Phone: (414) 762-2020

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1457384117
LBN Legal business name Midwest Dialysis Center, Inc
DBA Doing business as <Unavail>
Authorized official Kurz, David A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 1st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457384117 NPPES
Wisconsin MEDICAID 42505900

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