Organization · Type 2 NPI

Total Renal Care Inc

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

NPI number 1639535263 Active

Practice location

14 County Road P
Wisconsin Dells, WI 53965-9764

Call (608) 253-3597 Map

Fax (608) 253-3948

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...

NPI record

NPI: 1639535263
Entity type: Organization (Type 2)
Issued: Jan 12, 2016
Last updated: Aug 15, 2024
Status: Active

Other names

<unavail>
Lake Delton Dialysis · doing business as
Lake Delton Dialysis · doing business as

Authorized official

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

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About NPI 1639535263

Total Renal Care Inc's National Provider Identifier is 1639535263, issued on Jan 12, 2016. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Wisconsin Dells, WI. The record was last updated on Aug 15, 2024.