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Total Renal Care INC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Brookfield, WI. Organization (NPI-2).

NPI number1104367564
StatusActive
Last updated in NPPESAug 19, 2020

Details

NPI
1104367564
Entity type
Organization (NPI-2)
Legal business name
Total Renal Care INC
Organization subpart
No
Enumeration date
Mar 17, 2017
Certification date
Aug 19, 2020
Last updated
Aug 19, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Fox Brook Dialysis (Doing Business As)

Practice location

18740 W Bluemound Rd
Brookfield, WI 53045-2936

Phone 262-782-9856 · Fax 262-782-9984

Mailing address

5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569

Phone 615-341-6264 · Fax 800-297-2925

Authorized official

John Winstel
Chief Accounting Officer
2537334501

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Brookfield, WI

All 5 End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Brookfield · All 2,564 providers in Brookfield

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