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Organization

TOTAL RENAL CARE INC

Active
Other names
Siloam Springs Dialysis
Organization subpart
No

Provider details

NPI number
Authorized official
JIM K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization

Contact information

Practice address
500 S MOUNT OLIVE ST, STE 107, SILOAM SPRINGS, AR 72761-3602
(479) 524-0104
(479) 524-0769
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4268
(877) 238-0567

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
100757230B
OK
05
168260134
AR
Enumeration date
02/04/2008
Last updated
07/05/2018
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