Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Saint Croix Falls, WI. Organization (NPI-2).
NPI number1790740561
StatusActive
Last updated in NPPESMar 18, 2020
Details
- NPI
- 1790740561
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2006
- Certification date
- Mar 18, 2020
- Last updated
- Mar 18, 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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- St Croix Falls Dialysis Center (Doing Business As)
Practice location
744 E Louisiana StSaint Croix Falls, WI 54024-9501
Phone 715-483-1555 · Fax 715-483-9639
Mailing address
5200 Virginia WayL&C Dept
Brentwood, TN 37027-7569
Phone 615-341-6264 · Fax 833-297-2925
Authorized official
John Winstel
Chief Accounting Officer
2537334501
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