Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Greenfield, WI

NPI number 1073831343 Active

Practice location

7740 W Layton Ave
Greenfield, WI 53220-3707

Call (414) 281-1313 Map

Fax (414) 281-1722

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1073831343
Entity type: Organization (Type 2)
Issued: May 12, 2010
Last updated: Apr 24, 2024
Status: Active

Other names

<unavail>
South Ridge Dialysis · doing business as
South Ridge Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073831343

Total Renal Care Inc's National Provider Identifier is 1073831343, issued on May 12, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Greenfield, WI. The record was last updated on Apr 24, 2024.