Organization
TOTAL RENAL CARE INC
Active
Other names
Pahrump Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS O USILTON JR. (GROUP VICE PRESIDENT)
(770) 541-7922
Entity
Organization
Contact information
Practice address
330 S LOLA LN, PAHRUMP, NV 89048-0884
(775) 751-2390
(775) 751-3708
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4435
(303) 209-7821
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
2785ESR8
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004512000
—
NV
Enumeration date
04/04/2006
Last updated
02/18/2010
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