Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Midwest Legacy Capital LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Black Creek, WI · enumerated 2018 · authorized official Thomas Dudley, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1972008704

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Registry record

Entity type Organization (Type 2)

Legal business name Midwest Legacy Capital LLC

Other name <Unavail>

Practice address W4233 State Rd 54, Black Creek, WI, 54106

Phone (920) 915-5202

Enumeration date Mar 26, 2018

Last updated in NPPES Mar 26, 2018

Taxonomy & classification

261QE0700X End-Stage Renal Disease (ESRD) Treatment Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Thomas Dudley

Title Ceo

Phone (920) 915-5202

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Midwest Legacy Capital LLC located?

The practice location on file with NPPES is in Black Creek, WI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-26.