Organization
TOTAL RENAL CARE INC
Active
Other names
Meadow Lane Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1120 PINE ST, STANLEY, WI 54768-1297
(715) 644-0143
(715) 644-0943
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6793
(866) 853-1955
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
—
1326337619
—
WI
Enumeration date
04/07/2011
Last updated
11/08/2011
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