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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIDWEST LEGACY CAPITAL LLC

Active Organization

MIDWEST LEGACY CAPITAL LLC is a End-Stage Renal Disease Treatment Facility organization located in BLACK CREEK, Wisconsin. NPI 1972008704 is currently active in the NPPES registry. Verify at CMS.

End-Stage Renal Disease Treatment Facility · BLACK CREEK, WI

Registration Details

NPI Number
1972008704
Provider Type
Organization
NPI Issued
Mar 26, 2018 (8.3759214127489 yrs)
Last Updated
Mar 26, 2018

Practice Information

Address
W4233 STATE RD 54
BLACK CREEK, WI, 541068633
Browse WI providers · Browse ZIP 54106
Phone
9209155202
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.