NPIMap

Organization Active NPI

Wisconsin Dialysis, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fitchburg, WI
National Provider Identifier
1881702603
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
WISCONSIN DIALYSIS, INC.
Practice address
3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125
Phone
(608) 270-5600
Fax
(608) 270-5602
NPI assigned
Aug 29, 2006
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristine Holmes
Title
Authorized Official
Phone
(608) 270-5624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125

Mailing address

3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125
Phone (608) 270-5600

Other identifiers 1

IdentifierTypeStateIssuer
42060000MedicaidWI

Other names 1

  • Fitchburg Clinic Other name

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3034 Fish Hatchery Rd
Fitchburg, WI 53713
Phone (608) 270-5600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1881702603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133125",
            "telephone_number": "608-270-5600",
            "fax_number": "608-270-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 FISH HATCHERY RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133125",
            "telephone_number": "608-270-5600",
            "fax_number": "608-270-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN DIALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "608-270-5624"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42060000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitchburg Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fitchburg Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.