DUBUQUE INTERNAL MEDICINE PC NPI 1669426177

NPI Information

NPI: 1669426177
Provider Name: DUBUQUE INTERNAL MEDICINE PC

Doing Business As: TRI-STATE DIALYSIS PLATTEVILLE

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5 INSIGHT DR
PLATTEVILLE, WI
ZIP 53818
Phone: (608) 348-5064
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DUBUQUE INTERNAL MEDICINE PC is an end-stage renal disease (esrd) treatment clinic center in Platteville, WI. DUBUQUE INTERNAL MEDICINE PC NPI is 1669426177. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-state Dialysis Platteville.

The provider's business location address is:

5 INSIGHT DR
PLATTEVILLE, WI
ZIP 53818-828
Phone: (608) 348-5064
Fax: (608) 348-7950

The provider's authorized official is Mariah Ann Brandenburg .
The authorized official title is Administration and has the following contact phone number (563) 589-4066.

The CLIA number assigned to this NPI record is 52D1089847 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 4/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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