MIDWEST KIDNEY CARE-WAUKESHA BRANCH – NPI #1750575015
Clinic/Center

MIDWEST KIDNEY CARE-WAUKESHA BRANCH is an AHC clinic located in WAUKESHA, WI. NPPES has assigned the NPI number 1750575015 to MIDWEST KIDNEY CARE-WAUKESHA BRANCH on August 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MIDWEST KIDNEY CARE-WAUKESHA BRANCH” is a dba name, the actual legal business name for this organization is MIDWEST KIDNEY CARE, LLC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 15 years ago on Oct 27, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIDWEST KIDNEY CARE-WAUKESHA BRANCH below.

NPI Profile for
MIDWEST KIDNEY CARE, LLC

NPI Number
1750575015
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIDWEST KIDNEY CARE, LLC
Doing Business As (dba): MIDWEST KIDNEY CARE-WAUKESHA BRANCH
Primary location
111 ANN STREET
WAUKESHA, WI 53188-5163
Phone: (262) 542-6179 Fax: (262) 542-6182
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GREGORY WARREN
PRESIDENT
Phone: (414) 762-2020
Updated
Identifiers

Identifiers for MIDWEST KIDNEY CARE-WAUKESHA BRANCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI100005874
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.