Titletown Dialysis

LBN: Renal Life Link Inc
Titletown Dialysis is an health care organization with primary practice located at 120 Siegler St , Green Bay WI 54303-2636. 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. Renal Life Link Inc can be contacted via phone (920) 327-2120, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
120 Siegler St Green Bay WI 54303-2636
Phone: (920) 327-2120
Fax: (920) 327-2150
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

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

Profile Details

NPI number 1134184971
LBN Legal business name Renal Life Link Inc
DBA Doing business as Titletown Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Jun 24th, 2020 - about 6 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 1134184971 NPPES
Wisconsin MEDICAID 1134184971

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