Total Renal Care Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1063172112

Total Renal Care Inc provides End-Stage Renal Disease (ESRD) Treatment Clinic/Center services in Rice Lake, Wisconsin. Registered with an NPI since 2021.

In the registry since: 2021

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 W Stout St
Rice Lake, WI 54868-5000
Phone: (715) 236-6159
Fax: (715) 236-6522

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X

Record details

NPI number	1063172112
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Davita Inc
Authorized official	Samuel Wey — Vp Licensure & Certification · (615) 341-6641
Other names	Rice Lake Dialysis; Rice Lake Dialysis
NPI enumerated	December 29, 2021
Last updated in NPPES	August 15, 2024
Certification date	August 15, 2024
Mailing address	5200 Virginia Way, L&C Dept, Brentwood, TN 37027-7569

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Nathaniel S Jalil, MD Nephrology Physician · Eau Claire, WI
Somsak Tanawattanacharoen, MD Internal Medicine Physician · Eau Claire, WI