DUBUQUE INTERNAL MEDICINE, PC (NPI# 1679171599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679171599 |
| Entity Type | Organization |
| Organization Name | DUBUQUE INTERNAL MEDICINE, PC |
| Practice Address |
190 N Orange St Richland Center WI 53581-2163 |
| Mailing Address |
1515 Delhi St Ste 100 Dubuque IA 52001-6320 |
| Practice Telephone | 5635579111 |
| Mailing Telephone | 5635579111 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | JUSTIN HAFNER (C.E.O.) |
| Authorized Official Telephone | 5635579111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tri State Dialysis Richland Center | Doing Business As Name - Organization |
| Street Address |
190 N ORANGE ST |
| City | RICHLAND CENTER |
| State | WI |
| Zip Code | 53581-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730687542 | Danielle Lea Spencer | Occupational Therapy Assistant | 25881 Severson Street, Richland Center, WI 53581 | 2018-01-26 |
| 1396997953 | Bonnie Lou Peer | Licensed Practical Nurse | 24096 County Hwy 2, Richland Center, WI 53581 | 2008-10-15 |
| 1225286081 | Lori Knapp Richland, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1140 Sextonville Road #5, Richland Center, WI 53581 | 2008-09-05 |
| 1881868768 | Patrick M Murphy | Chiropractor | 875 N Orange St, Richland Center, WI 53581 | 2008-04-22 |
| 1588838502 | Michael Joseph Pelsoh | Pharmacist | Richland Hospital 333 E 2nd St, Richland Center, WI 53581 | 2008-04-22 |
| 1902087653 | Patricia Ann Behn | Occupational Therapist | 222 Seminary St, Richland Center, WI 53581 | 2007-11-23 |
| 1386833390 | Kyle J Berra | Specialist/Technologist | 333 E. Second St, Richland Center, WI 53581 | 2007-10-16 |
| 1487871653 | Daniel George Basarich | Dentist | 175 E Mill Street, Richland Center, WI 53581 | 2007-04-19 |
| 1851517312 | Bruce Todd Vermilyea | Dentist | 175 E Mill Str, Richland Center, WI 53581 | 2007-04-17 |
| 1144394735 | Debra Lynn Goplen | Licensed Practical Nurse | 24096 Hwy Z, Richland Center, WI 53581 | 2006-11-17 |
| Find all providers in zip 53581 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358439 | Gundersen Lutheran Medical Center Inc | Clinic/Center | 1313 W Seminary St, Richland Center, WI 53581-2067 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
| 1437690898 | Total Renal Care Inc | Clinic/Center | 1905 Market Way, Watertown, WI 53094-7466 | 2017-03-17 |
| Find all providers with the same taxonomy | ||||
| City | RICHLAND CENTER |
| Zip Code | 53581 |
Please comment or provide details below to improve the information on DUBUQUE INTERNAL MEDICINE, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.