Organization
TOTAL RENAL CARE INC
Active
Other names
Villa of Wentzville
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
1126 W PEARCE BLVD, WENTZVILLE, MO 63385-1053
(636) 639-1655
(636) 639-1661
Mailing address
5200 VIRGINIA WAY, STE 400 - L&C DEPT., BRENTWOOD, TN 37027-7569
(615) 341-6480
(866) 381-9878
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
—
1629203039
—
MO
Enumeration date
05/29/2009
Last updated
01/05/2011
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