DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PURITY DIALYSIS CENTERS, INC

MEDICARE: PURITY DIALYSIS CENTERS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterWI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
152D0869266OTHERWIBDC CLIA #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023194719
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURITY DIALYSIS CENTERS, INC
Provider Business Mailing Address
First Line : 2301 SUN VALLEY DR STE 200
Second Line :
City : DELAFIELD
State : WI
Zip : 53018-2318
Country : US
Telephone Number : 262-646-4162
Fax Number : 262-646-2498
Provider Business Practice Location Address
First Line : 18740 W BLUEMOUND RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-2936
Country : US
Telephone Number : 262-782-9856
Fax Number : 262-782-9984
Authorized Official
Title or Position : BILLING SUPERVISOR
Name : MS. TINA M WALDRON
Credential :
Telephone Number : 262-646-6426
Provider Enumeration Date : 10/27/2006
Last Update Date : 05/12/2010

Similar Medicare Providers

1588031934 — TRACY LAUBENSTEIN
Practice Location Address:
18740 W BLUEMOUND RD
BROOKFIELD, WI
53045-2936
Practice Phone: 414-208-6933
Practice Fax:
1487609178 — FIVE STAR QUALITY CARE WI LLC
Practice Location Address:
18740 WEST BLUEMOUND ROAD
BROOKFIELD, WI
53045-2936
Practice Phone: 262-782-0230
Practice Fax: 262-797-8306
1689723173 — LISA DYSON PT
Practice Location Address:
18740 W BLUEMOUND RD
BROOKFIELD, WI
53045-2936
Practice Phone: 262-782-0230
Practice Fax: 262-797-8306
1588874812 — MRS. SUSAN L FLECK O.T.
Practice Location Address:
18740 W BLUEMOUND RD
BROOKFIELD, WI
53045-2936
Practice Phone: 262-782-0230
Practice Fax: 262-789-5081
1659514875 — MRS. CHRISTINE HOLLY DELONG MSCCC
Practice Location Address:
18740 W BLUEMOUND RD
BROOKFIELD, WI
53045-2936
Practice Phone: 262-782-0230
Practice Fax: 262-797-8306
1013217959 — TAMARA ANTHONY LPN
Practice Location Address:
18740 W BLUEMOUND RD
BROOKFIELD, WI
53045-2936
Practice Phone: 262-782-0230
Practice Fax:

Directions to “PURITY DIALYSIS CENTERS, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.