Commonwealth Dialysis Center, Llc
LBN: Commonwealth Dialysis Center, Llc
Commonwealth Dialysis Center, Llc is an health care organization with primary practice located at 4848 S 76Th St Suite 100, Greenfield WI 53220-4361. 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.
Commonwealth Dialysis Center, Llc can be contacted via phone (414) 281-6806, or through Lawson, Herbert S via phone (303) 785-7521.
Contact Information
Primary practice address
4848 S 76Th St Suite 100
Greenfield WI 53220-4361
Phone: (414) 281-6806
Fax: (414) 281-7289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X |
Profile Details
| NPI number | 1295806776 |
|---|---|
| LBN Legal business name | Commonwealth Dialysis Center, Llc |
| DBA Doing business as | |
| Authorized official | Lawson, Herbert S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295806776 | NPPES |
| Wisconsin | Other | 3911991136010 | BLUE CROSS PROVIDER NUMBE |
| Wisconsin | MEDICAID | 42057900 | BLUE CROSS PROVIDER NUMBE |
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