Germantown Dialysis Center

LBN: Purity Dialysis Centers, Inc
Germantown Dialysis Center is an health care organization with primary practice located at W175 N11056 Stonewood Dr. , Germantown WI 53022. 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) 646-6426, or through Waldron, Tina M via phone (262) 646-6426.

Contact Information

Primary practice address
W175 N11056 Stonewood Dr. Germantown WI 53022
Fax: (262) 646-2498
Website:
Authorized official contact:
Name: Waldron, Tina M

Health care specialties

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

Profile Details

NPI number 1831315845
LBN Legal business name Purity Dialysis Centers, Inc
DBA Doing business as Germantown Dialysis Center
Authorized official Waldron, Tina M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Oct 28th, 2016 - about 9 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 1831315845 NPPES
Wisconsin MEDICAID 1831315845
Wisconsin Other 52D1089424

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