OrganizationActive
Dubuque Internal Medicine PC
NPI 1710930086 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Manchester, IA
Provider details
- NPI number
- 1710930086
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mariah Brandenburg, Administration(563) 589-4066
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 S 11th St Ste 2
Manchester, IA 52057-2220
Phone: (563) 927-2532
Fax: (563) 927-5579
Street-level locationGet directions
Mailing address
1515 Delhi St
Dubuque, IA 52001-6320
Other names (DBA / former)
- Doing business as
- Tri-State Dialysis Manchester
- Doing business as
- Tri-State Dialysis Manchester
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.