| Organization Name: | PURITY DIALYSIS CENTERS INC |
| NPI Number: | 1669650545 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TINA M WALDRON (BILLING SUPERVISOR) |
| Mailing Address: | 2301 Sun Valley Dr Ste 101 Delafield |
| State: | WI US |
| Postal Code: | 530182318 |
| Phone Number: | 2626466426 |
| Fax Number: | 2626462498 |
| NPI Enumeration Date: | 02/04/2008 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |