Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1144590084 Active

Practice location

1751 Deckner Ave
Green Bay, WI 54302-2630

Call (920) 465-0430 Map

Fax (920) 465-1311

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...

Another provider at this address

Aurora Medical Group IncEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Green Bay, WI NPI 1477600849

Other end-stage renal disease (esrd) treatment clinic/center providers in Green Bay

See all in Green Bay →

NPI record

NPI: 1144590084
Entity type: Organization (Type 2)
Issued: Jan 10, 2012
Last updated: Sep 12, 2024
Status: Active

Other names

<unavail>
Green Bay Dialysis · doing business as
Green Bay 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 1144590084

Total Renal Care Inc's National Provider Identifier is 1144590084, issued on Jan 10, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Green Bay, WI. The record was last updated on Sep 12, 2024.