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Dialysis Facility Membership Agreement

Please click on FACILITY LOGIN in the footer to sign a new agreement

Person signing an agreement

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Patients
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Midwest Kidney Network

1360 Energy Park Drive,

Suite 320

St. Paul, MN 55108

(800) 973-3773 For Patients

(651) 644-9877 For Providers

(651) 644-9853 Fax

info@midwestkidneynetwork.org

Facilities:

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Please do not send patient-specific data (name, SSN, DOB, etc.) to Midwest Kidney Network via email as this is a CMS Security Violation and will be reported as such. You may only use the EQRS ID/UPI # when referencing a patient via email message to Midwest Kidney Network.