Organization
TOTAL RENAL CARE INC
Active
Other names
Stonegate PD Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT AND CONTROLLER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
16 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 668-7118
(731) 664-4787
Mailing address
5200 VIRGINIA WAY, STE. 400 L&C, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442652
—
TN
Enumeration date
04/10/2006
Last updated
12/11/2008
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