DULUTH CLINIC AT LAKEVIEW MEDICAL CENTER SPOONER DIALYSIS UNIT
NPI 1710104658
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Spooner, WI
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About DULUTH CLINIC AT LAKEVIEW MEDICAL CENTER SPOONER DIALYSIS UNIT
This page provides the complete NPI Profile along with additional information for Duluth Clinic At Lakeview Medical Center Spooner Dialysis Unit, a provider established in Spooner, Wisconsin operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1710104658 assigned on April 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Duluth Clinic At Lakeview Medical Center Spooner Dialysis Unit operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Duluth Clinic At Lakeview Medical Center Spooner Dialysis Unit. The authorized official of this NPI record is Michael C Metcalf (Evp)
- NPI
- 1710104658 Verify this NPI
- Provider Legal Name
- THE DULUTH CLINIC, LTD
- Other Organization Name
- DULUTH CLINIC AT LAKEVIEW MEDICAL CENTER SPOONER DIALYSIS UNIT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 819 ASH ST SPOONER, WI 54801
- Location Phone
- (715) 635-5303
- Mailing Address
- 819 ASH ST SPOONER, WI 54801
- Mailing Phone
- (715) 635-5303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-20-2007
- Last Update Date
- 04-09-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 52D0040177 | OTHER (01) | WI | CLIA |
| 000004010 | MEDICARE PIN (08) | WI |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPOONER, WI 54801
SPOONER, WI 54801
SPOONER, WI 54801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710104658, enumerated as an "organization" on April 20, 2007.
The provider is located at 819 ASH ST SPOONER, WI 54801 and the phone number is (715) 635-5303.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
