Organization
TOTAL RENAL CARE INC
Active
Other names
Bluemound Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
601 N 99TH ST, STE 100, WAUWATOSA, WI 53226-4339
(414) 755-6300
(414) 755-6310
Mailing address
5200 VIRGINIA WAY, ATTN L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306164587
—
WI
Enumeration date
05/12/2010
Last updated
11/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us