Amery Dialysis LLC
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Amery, WI
NPI 1750554333 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1750554333
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- AMERY DIALYSIS LLC
- Practice address
- 970 Elden Ave
Amery, WI 54001-1448 - Phone
- (715) 268-4288
- Fax
- (715) 827-9899
- NPI assigned
- Apr 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Member of 2
Affiliated clinicians 3
-
Judson B. Pollock, M.D.
Medicare Care Compare: Dialysis facility
- Listed as
- DaVita Amery Dialysis
- Overall star rating
- ★★★☆☆ 3.0 of 5
- Ownership
- Profit
- Certified
- Aug 28, 2008
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080407000731 | WI | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 8820175441 | Practice locations: Amery, WI |
National Provider Directory
Locations
970 Elden Ave
Amery, WI 54001
Phone (715) 268-4288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
970 Elden Ave
Amery, WI 54001-1448
Mailing address
5200 Virginia Way
Attn: L&C Dept
Brentwood, TN 37027-7569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750554333 | Medicaid | WI |
Other names
- Amery Dialysis
Other providers in Amery, WI
- A K Karpenski LLC
- A Touch of Life Inc.
- Nada Abouelnaga
- Michael A Albano
- Amery Chiropractic LLC
- Amery Regional Medical Center
- Amery Regional Medical Center
- Amery Regional Medical Center, Inc
- Amery Regional Medical Center, Inc.
- Amery Regional Medical Center, Inc.
All providers in Amery, WI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.