Brookfield Dialysis Center

LBN: Purity Dialysis Centers, Inc
Brookfield Dialysis Center is an health care organization with primary practice located at 18740 W Bluemound Rd , Brookfield WI 53045-2936. 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. Purity Dialysis Centers, Inc can be contacted via phone (262) 782-9856, or through Waldron, Tina M via phone (262) 646-6426.

Contact Information

Primary practice address
18740 W Bluemound Rd Brookfield WI 53045-2936
Phone: (262) 782-9856
Fax: (262) 782-9984
Website:
Map and Directions
Authorized official contact:
Name: Waldron, Tina M
Phone: (262) 646-6426

Health care specialties

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

Profile Details

NPI number 1023194719
LBN Legal business name Purity Dialysis Centers, Inc
DBA Doing business as Brookfield Dialysis Center
Authorized official Waldron, Tina M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated May 12th, 2010 - 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 1023194719 NPPES
Wisconsin Other 52D0869266 BDC CLIA #
Wisconsin MEDICAID 42051600 BDC CLIA #

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