Waupun Memorial Hospital
NPI 1881672004 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Beaver Dam, WI
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1881672004
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Waupun Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Troy Walker, Director of Finance(608) 356-1423
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Ssm Health Dialysis Center
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.