Provider Type Icon

TOTAL RENAL CARE INC NPI 1336680792


NPI Information

NPI: 1336680792
Provider Name: TOTAL RENAL CARE INC

Doing Business As: WAUKESHA DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
721 AMERICAN AVE STE 204
WAUKESHA, WI
ZIP 53188
Phone: (262) 549-0754
Get Directions

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Waukesha, WI. TOTAL RENAL CARE INC NPI is 1336680792. The provider is registered as an organization entity type.
The provider Is Doing Business As Waukesha Dialysis.

The provider's business location address is:

721 AMERICAN AVE STE 204
WAUKESHA, WI
ZIP 53188-071
Phone: (262) 549-0754
Fax: (262) 549-0782

The provider's authorized official is John D. Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 8/1/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11336680792MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.