Organization
BAY AREA MEDICAL CENTER INC
Active
Organization
BAY AREA MEDICAL CENTER INC
Active
Other names
Bay Area Medical Center Inc Dialysis Unit
Organization subpart
No
Provider details
NPI number
Authorized official
C DANIAL CARLSON CPA (CFO)
(715) 735-8016
Entity
Organization
Contact information
Practice address
3100 SHORE DRIVE, MARINETTE, WI 54143-4242
(715) 735-4200
(715) 735-1791
Mailing address
3100 SHORE DRIVE, MARINETTE, WI 54143-4242
(715) 735-4200
(715) 735-1791
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001400
—
WI
05
—
1711544TYPE40
—
MI
Enumeration date
11/01/2006
Last updated
04/29/2008
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