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MIDWEST KIDNEY CARE LLC NPI 1750575015


NPI Information

NPI: 1750575015
Provider Name: MIDWEST KIDNEY CARE, LLC

Doing Business As: MIDWEST KIDNEY CARE-WAUKESHA BRANCH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
111 ANN STREET
WAUKESHA, WI
ZIP 53188
Phone: (262) 542-6179
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MIDWEST KIDNEY CARE, LLC is an end-stage renal disease (esrd) treatment clinic center in Waukesha, WI. MIDWEST KIDNEY CARE, LLC NPI is 1750575015. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Kidney Care-waukesha Branch.

The provider's business location address is:

111 ANN STREET
WAUKESHA, WI
ZIP 53188-163
Phone: (262) 542-6179
Fax: (262) 542-6182

The provider's authorized official is Gregory V Warren .
The authorized official title is President and has the following contact phone number (414) 762-2020.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 10/27/2011.


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
1522581MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2100005874MEDICAIDWISCONSIN

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

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