Organization
TOTAL RENAL CARE INC
Active
Other names
Quincy Avenue Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
(253) 733-4500
Entity
Organization
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 770-5380
(570) 770-5394
Mailing address
5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD, TN 37027-7569
(615) 320-4414
(866) 865-2884
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
—
1007734290040
—
PA
Enumeration date
12/19/2013
Last updated
04/07/2015
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