Organization
MILE BLUFF MEDICAL CENTER INC
Active
Parent organization
MILE BLUFF MEDICAL CENTER INC
Other names
Mile Bluff Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILE BLUFF MEDICAL CENTER INC
Authorized official
THOMAS KAMINSKI (VP/CFO)
(608) 847-1452
Entity
Organization
Contact information
Practice address
406 GATEWAY AVE, MAUSTON, WI 53948-1401
(608) 847-2961
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
(608) 847-2079
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42056200
—
WI
Enumeration date
01/30/2007
Last updated
04/10/2026
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