Organization
TOTAL RENAL CARE INC
Active
Other names
Hiawatha 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
120 EAST LODGE RD, HIAWATHA, KS 66434-0001
(785) 742-1761
(785) 742-1804
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 341-5815
(866) 545-1317
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
—
10035301E
—
KS
Enumeration date
07/19/2007
Last updated
12/19/2013
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