Organization
TOTAL RENAL CARE INC
Active
Other names
Cumberland Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
1131 PLAZA DR, STE D, GRUNDY, VA 24614-6780
(276) 935-5481
Mailing address
5200 VIRGINIA WAY, L & C DEPARTMENT, BRENTWOOD, TN 37027-7569
(615) 341-5875
(888) 563-4087
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164821328
—
VA
Enumeration date
08/13/2014
Last updated
09/23/2015
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