Westbrook Dialysis, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Cape Girardeau, MO. Organization (NPI-2).
NPI number1336748110
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1336748110
- Entity type
- Organization (NPI-2)
- Legal business name
- Westbrook Dialysis, LLC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Nov 9, 2021
- Last updated
- Nov 23, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Practice location
140 West DriveCape Girardeau, MO 63703
Phone 573-803-2728
Mailing address
1349 N Mount Auburn RdCape Girardeau, MO 63701-1727
Phone 573-334-9564 · Fax 573-334-1879
Authorized official
Frank W Braxton
President/Nephrologist
5733349564
Is something wrong?
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