MIDWEST KIDNEY CARE LLC NPI 1962435644

NPI Information

NPI: 1962435644
Provider Name: MIDWEST KIDNEY CARE, LLC

Doing Business As: MIDWEST KIDNEY CARE-WEST BEND BRANCH

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2050 CONTINENTAL DR
WEST BEND, WI
ZIP 53095
Phone: (262) 306-2700
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MIDWEST KIDNEY CARE, LLC is an end-stage renal disease (esrd) treatment clinic center in West Bend, WI. MIDWEST KIDNEY CARE, LLC NPI is 1962435644. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Kidney Care-west Bend Branch.

The provider's business location address is:

2050 CONTINENTAL DR
WEST BEND, WI
ZIP 53095-848
Phone: (262) 306-2700
Fax: (262) 306-2704

The provider's authorized official is David A Kurz .
The authorized official title is V.p. Operations and has the following contact phone number (414) 762-2020.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/1/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42058000	MEDICAID	WISCONSIN
2	=========	OTHER	WISCONSIN	TAX ID NUMBER
3	42058000	OTHER	WISCONSIN	MEDICAID PROVIDER NUMBER
4	5222544	OTHER	WISCONSIN	MEDICARE PROVIDER NUMBER
5	522544	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

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: 5/5/2024

NPI Synchronization or Removal

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