Green Bay Dialysis

LBN: Total Renal Care Inc
Green Bay Dialysis is an health care organization with primary practice located at 1751 Deckner Ave , Green Bay WI 54302-2630. 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) 465-0430, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
1751 Deckner Ave Green Bay WI 54302-2630
Phone: (920) 465-0430
Fax: (920) 465-1311
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1144590084
LBN Legal business name Total Renal Care Inc
DBA Doing business as Green Bay Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2012
Last updated Oct 12th, 2023 - about 3 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 1144590084 NPPES
Wisconsin MEDICAID 1144590084

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