Organization
TOTAL RENAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
3028 N SERVICE DR, RED WING, MN 55066-1921
(651) 388-7711
(651) 388-4311
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4514
(866) 594-9961
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
—
356314600
—
MN
05
—
42055000
—
WI
Enumeration date
04/17/2006
Last updated
10/26/2017
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