Organization
TOTAL RENAL CARE INC
Active
Other names
Gate City Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
2001 BENCH RD, POCATELLO, ID 83201
(208) 637-1090
(208) 637-1097
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-6814
(800) 293-8405
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
—
807605900
—
ID
Enumeration date
05/16/2006
Last updated
08/02/2018
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