Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waupun Memorial Hospital

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1619955838

Waupun Memorial Hospital provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Fond Du Lac, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

101 S Pioneer Rd
Fond Du Lac, WI 54935-3871
Phone: (920) 923-2333
Fax: (920) 926-8885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1619955838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Little — Svp & Cfo · (920) 926-5402
Other names Fond Du Lac Dialysis Center; Ssm Health Dialysis Center
NPI enumeratedJanuary 6, 2006
Last updated in NPPESMarch 12, 2022
Certification dateMarch 12, 2022
Mailing addressPo Box 1283, Fond Du Lac, WI 54936-1283

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Fond Du Lac