Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fond Du Lac, WI

NPI number 1194095166 Active

Practice location

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999

Call (920) 907-0689 Map

Fax (920) 907-0760

Mailing address

5200 Virginia Way, Attn 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...

60 other providers at this address

Other end-stage renal disease (esrd) treatment clinic/center providers in Fond Du Lac

Waupun Memorial HospitalEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center Fond Du Lac, WI NPI 1619955838

See all in Fond Du Lac →

NPI record

NPI: 1194095166
Entity type: Organization (Type 2)
Issued: Jan 9, 2012
Last updated: Aug 22, 2024
Status: Active

Other names

<unavail>
Fond Du Lac Dialysis · doing business as
Fond Du Lac Dialysis · doing business as

Authorized official

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

Verify this record

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.

Is this your record? How to update it.

About NPI 1194095166

Total Renal Care Inc's National Provider Identifier is 1194095166, issued on Jan 9, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fond Du Lac, WI. The record was last updated on Aug 22, 2024.