WISCONSIN DIALYSIS, INC. – NPI #1881702603
Clinic/Center

WISCONSIN DIALYSIS, INC. is an AHC clinic located in FITCHBURG, WI. NPPES has assigned the NPI number 1881702603 to WISCONSIN DIALYSIS, INC. on August 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. WISCONSIN DIALYSIS, INC. is also known by the name FITCHBURG CLINIC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 7 years ago on Jun 24, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WISCONSIN DIALYSIS, INC. below.

NPI Profile for
WISCONSIN DIALYSIS, INC.

NPI Number
1881702603
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WISCONSIN DIALYSIS, INC.
Other Name: FITCHBURG CLINIC
Primary location
3034 FISH HATCHERY RD
FITCHBURG, WI 53713-3125
Phone: (608) 270-5600 Fax: (608) 270-5602
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTINE HOLMES
AUTHORIZED OFFICIAL
Phone: (608) 270-5624
Updated
Identifiers

Identifiers for WISCONSIN DIALYSIS, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI42060000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.