Sturgeon Bay Dialysis

LBN: Total Renal Care Inc
Sturgeon Bay Dialysis is an health care organization with primary practice located at 108 S 10Th Ave , Sturgeon Bay WI 54235-1802. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (920) 746-7955, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
108 S 10Th Ave Sturgeon Bay WI 54235-1802
Phone: (920) 746-7955
Fax: (920) 746-7974
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1104196047
LBN Legal business name Total Renal Care Inc
DBA Doing business as Sturgeon Bay Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2012
Last updated Mar 18th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104196047 NPPES
Wisconsin MEDICAID 1104196047

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